Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maxine L Gann, PHD

Individual provider Clinical Psychologist · NPI 1417626383

Maxine L Gann, PHD is a Clinical Psychologist in New York, New York. Practices as a sole proprietor. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1199 Park Ave Apt 1K
New York, NY 10128-1713
Phone: (212) 860-3368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 7966 (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence 6675 (CA)

Record details

NPI number1417626383
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 13, 2021
Last updated in NPPESSeptember 13, 2021
Certification dateSeptember 13, 2021

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