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Max Shawn Doyle
Intellectual & Developmental Disabilities Psychologist in Van Nuys, California
NPI 1407582604

Max Shawn Doyle is a Intellectual & Developmental Disabilities Psychologist based in Van Nuys, CA and is specialized in Intellectual & Developmental Disabilities. Max Shawn Doyle practices in Van Nuys, CA. The NPI Number for Max Shawn Doyle is 1407582604 and holds a License No. (California).

The current practice location address for Max Shawn Doyle is 13566 Gilmore St, Van Nuys, CA and can be reached out via phone at 818-203-8123.

Location: 13566 Gilmore St, Van Nuys, CA, 91401-1705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407582604
Provider Name
Max Shawn Doyle
Credential
Provider Entity Type
Individual
Gender
Male
Address
13566 Gilmore St, Van Nuys, CA, 91401-1705
Phone Number
818-203-8123
Fax Number
Provider Enumeration Date
07/29/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XDPCA8011110 01 ANTHEM
institution
Provider Business Practice Location Address Details
Address
13566 Gilmore St
City
Van Nuys
State
California
Zip
91401-1705
Phone Number
818-203-8123
Fax Number
person
Provider Business Mailing Address Details
Address
13566 Gilmore St
City
Van Nuys
State
California
Zip
91401-1705
Phone Number
818-203-8123
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Intellectual & Developmental Disabilities
Taxonomy
103TM1800X
License No.
()
Definition
Definition to come...
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