James J Maynard
Clinical Child & Adolescent Psychologist
500 Grace Lane
Austin
, Texas 78746
James J Maynard
Clinical Child & Adolescent Psychologist
500 Grace Lane
Austin
, Texas 78746
(512) 343-6067
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- James J Maynard
- 500 Grace Ln
- Austin, TX
- Zip : 78746-4815
- Phone : (512) 343-6067
Second Address
- James J Maynard
- 500 Grace Lane
- Austin, TX
- Zip : 78746
- Phone : (512) 343-6067
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist |
National Provider Identifier
| NPI | 1104836808 |
|---|---|
| Provider Name | James J Maynard |
| First Address | Austin, TX 78746-4815 |
| Second Address | Austin, TX 78746 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/08/2006 |
| Last Update Date | 02/07/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A36U | BLUE CROSS BLUE SHIELD (01) | TX |
| P000A36U4 | (05) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.