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Organization

CHRISTINA E MAXWELL PHD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA MAXWELL PHD (OWNER)
(317) 682-9279
Entity
Organization

Contact information

Practice address
6337 HOLLISTER DRIIVE, SUITE 101, INDIANAPOLIS, IN 46224-2996
(317) 682-9279
(877) 894-5104
Mailing address
6337 HOLLISTER DRIIVE, SUITE 101, INDIANAPOLIS, IN 46224-2996
(317) 682-9279
(877) 894-5104

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20043040A
PSYD LIC
IN
Enumeration date
06/23/2020
Last updated
11/21/2024
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