Maxwell, Catherine
Maxwell, Catherine is an sole proprietor health care provider with primary practice located at 53700 Generations Dr Suite 200, South Bend IN 46635-1539. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Maxwell, Catherine can be contacted via phone (574) 286-9198.Contact Information
Primary practice address
53700 Generations Dr Suite 200
South Bend IN 46635-1539
Phone: (574) 286-9198
Fax: (574) 258-6307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20010422A | Indiana |
Profile Details
| NPI number | 1578553798 |
|---|---|
| LBN Legal business name | Maxwell, Catherine |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578553798 | NPPES |
| Indiana | MEDICAID | 200094370A | |
| Indiana | Other | 244355000 | |
| Indiana | Other | 000000237327 |
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