Komaneche T Maxwell, SCHOOL PSYCHOLOGIST - Psychologist in Rialto, CA

Komaneche T Maxwell, SCHOOL PSYCHOLOGIST is a Psychologist - School based in Rialto, California. Komaneche T Maxwell is licensed to practice in New Mexico (license number 343535) and her current practice location is 665 W Winchester Dr, Rialto, California. She can be reached at her office (for appointments etc.) via phone at (951) 809-3592.

NPI number for Komaneche T Maxwell is 1508161548 and her current mailing address is 665 W Winchester Dr, Rialto, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508161548.

Contact Information

Komaneche T Maxwell, SCHOOL PSYCHOLOGIST
665 W Winchester Dr,
Rialto, CA 92376-3237
(951) 809-3592
Not Available



Healthcare Provider's Profile

Full NameKomaneche T Maxwell
GenderFemale
SpecialityPsychologist - School
Location665 W Winchester Dr, Rialto, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508161548
  • Provider Enumeration Date: 01/24/2011
  • Last Update Date: 10/21/2013

Medical Identifiers

Medical identifiers for Komaneche T Maxwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508161548NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 343535 (New Mexico)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Komaneche T Maxwell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Komaneche T Maxwell, SCHOOL PSYCHOLOGIST
665 W Winchester Dr,
Rialto, CA 92376-3237

Ph: (951) 809-3592
Komaneche T Maxwell, SCHOOL PSYCHOLOGIST
665 W Winchester Dr,
Rialto, CA 92376-3237

Ph: (951) 809-3592

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Psychologist in Rialto, CA

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