Individual
DAVID MICHAEL MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
770 FOREST AVE, BIRMINGHAM, MI 48009-6431
(248) 594-3410
(248) 594-3424
Mailing address
770 FOREST AVE, BIRMINGHAM, MI 48009-6431
(248) 594-3410
(248) 594-3424
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301005015
MI
103TS0200X
School Psychologist
CC-0C1870539340
MI
Other
Enumeration date
09/25/2010
Last updated
09/25/2010
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