MR. MAXWELL EARL REED STOLTENBERG NPI 1548731664

NPI Information

  • NPI: 1548731664
  • Provider Name: MR. MAXWELL EARL REED STOLTENBERG
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 4718 N 3RD AVE
    PHOENIX, AZ
    ZIP 85013
  • Phone: (928) 853-7109

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NPI Details

MR. Maxwell Earl Reed Stoltenberg is a counselor in Phoenix, AZ. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Maxwell Earl Reed Stoltenberg NPI is 1548731664. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4718 N 3RD AVE
PHOENIX, AZ
ZIP 85013-705
Phone: (928) 853-7109

The enumeration date for this NPI number is 12/16/2018 and was last updated on 12/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorLAC-17355ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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