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Maxwell Blake

NPI 1023597382 · on the registry since 2018

Practice

Address
1600 Wilson Blvd Ste 102
Arlington, VA 22209
Phone
(703) 935-1996
Fax
(703) 935-1995
Organisation at this address
Heartswell, Llc
Ascent Behavioral Wellness
Alexis Herman, Psyd L.L.C.
Drs. Wu And Palabrica, D.D.S., P.C.
Professional Sportscare & Rehab, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-08-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia