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

Tyler C Maxson, MA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417399098

Tyler C Maxson, MA is a Student in an Organized Health Care Education/Training Program in Surprise, Arizona. Licensed in Arizona. Registered with an NPI since 2013.

Licensed in
AZ
In the registry since
2013
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

14780 W Mountain View Blvd Ste 110
Surprise, AZ 85374-7280
Phone: (623) 374-7774
Fax: (877) 796-5302
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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 4642 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417399098
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedJuly 23, 2013
Last updated in NPPESOctober 7, 2015
Mailing address14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374-7280

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