Maxson, Tyler C

Maxson, Tyler C is an individual health care provider with primary practice located at 14780 W. Mountain View Blvd. Suite 110, Surprise AZ 85374-7280. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Maxson, Tyler C can be contacted via phone (623) 374-7774.

Contact Information

Primary practice address
14780 W. Mountain View Blvd. Suite 110 Surprise AZ 85374-7280
Phone: (623) 374-7774
Fax: (877) 796-5302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4642 Arizona

Profile Details

NPI number 1417399098
LBN Legal business name Maxson, Tyler C
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2013
Last updated Oct 7th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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