Russell, Maxine M

Russell, Maxine M is an individual health care provider with primary practice located at 2375 Tamiami Trl N Suite 306, Naples FL 34103-4440. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Russell, Maxine M can be contacted via phone (239) 435-1606.

Contact Information

Primary practice address
2375 Tamiami Trl N Suite 306 Naples FL 34103-4440
Phone: (239) 435-1606
Fax: (239) 435-1607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH4166 Florida

Profile Details

NPI number 1578517884
LBN Legal business name Russell, Maxine M
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 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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