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Contact Information

SALLY D MAXWELL, LP
502 EAST 2ND STREET
DULUTH, MN55805
 Phone: 218-727-8762
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SALLY D MAXWELL · (Female)

NPI Number 1578658167
Status Active
Credentials LP
Entity Individual
Enumeration date 10/03/2006
Last updated 09/30/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 3150
  • MN Other 3150 PSYCHOLOGY LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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