Jacob Maxwell
Psychologist in Ephrata, PA. Individual provider (NPI-1).
NPI number1982508677
StatusActive
Last updated in NPPESOct 6, 2026
Details
- NPI
- 1982508677
- Entity type
- Individual (NPI-1)
- Name
- Jacob Maxwell
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2026
- Certification date
- Oct 6, 2026
- Last updated
- Oct 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
344 N Reading RdEphrata, PA 17522-1651
Phone 717-738-1125
Mailing address
112 N New StLititz, PA 17543-1137
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