Maxwell, Kenneth G

Maxwell, Kenneth G is an sole proprietor health care provider with primary practice located at 19 Hanward Hl , East Longmeadow MA 01028-2442. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Maxwell, Kenneth G can be contacted via phone (413) 525-6914.

Contact Information

Primary practice address
19 Hanward Hl East Longmeadow MA 01028-2442
Phone: (413) 525-6914
Fax: (413) 525-6914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1015 Massachusetts

Profile Details

NPI number 1528126075
LBN Legal business name Maxwell, Kenneth G
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Jul 8th, 2007 - about 19 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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