Mack, Maxine

Mack, Maxine is an sole proprietor health care provider with primary practice located at 8215 Van Nuys Blvd , Panorama City CA 91402-4810. She 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 her primary health care specialty. Mack, Maxine can be contacted via phone (818) 855-2270.

Contact Information

Primary practice address
8215 Van Nuys Blvd Panorama City CA 91402-4810
Phone: (818) 855-2270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 83927 California

Profile Details

NPI number 1457801151
LBN Legal business name Mack, Maxine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2016
Last updated Mar 11th, 2019 - about 6 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.

Request for update

Popular Providers