Maxwell, Lana Jessica
Maxwell, Lana Jessica is an sole proprietor health care provider with primary practice located at 462 Stevens Ave Suite 108, Solana Beach CA 92075-2075. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Maxwell, Lana Jessica can be contacted via phone (858) 793-9660.Contact Information
Primary practice address
462 Stevens Ave Suite 108
Solana Beach CA 92075-2075
Phone: (858) 793-9660
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY16443 | California |
Profile Details
| NPI number | 1528153699 |
|---|---|
| LBN Legal business name | Maxwell, Lana Jessica |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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