Maxwell Wallace, PSYD

NPI 1639676299 · on the registry since 2018 · sole proprietor

Practice

Address: 600 Park Avenue
Carriage House
Rochester, NY 14607
Phone: (585) 449-0125
Organisation at this address: Mindful Psychology
Neuroloqi Acupuncture
Lorrie Johnson Lcsw Pllc
Signature Therapy Services Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-07-19

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 New York