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Individual

DR. KIMBERLY MARIE MAYNARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D

Contact information

Practice address
155 MAPLE ST, SUITE 203, SPRINGFIELD, MA 01105-2649
(413) 734-3331
Mailing address
155 MAPLE ST, SUITE 203, SPRINGFIELD, MA 01105-2649
(413) 734-3331

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9904
MA
103TH0100X
Health Service Psychologist
9904
MA

Other

Enumeration date
09/18/2008
Last updated
11/15/2022
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