Jessie Maynard, LP, PSYD, CAADC

NPI 1710126750 · on the registry since 2009 · sole proprietor

Practice

Address: 1199 Teakwood Cir
Haslett, MI 48840
Phone: (202) 630-2790
Organisation at this address: Synaptic Way Plc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Also registered as: 101YA0400X
101YM0800X
103TP2701X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-05-12

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 Michigan