Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JESSIE M MAYNARD, LP, PSYD, CAADC
Active Sole ProprietorDR. JESSIE M MAYNARD, LP, PSYD, CAADC is a Clinical Psychologist healthcare provider located in HASLETT, Michigan. NPI 1710126750 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · HASLETT, MI
Registration Details
- NPI Number
- 1710126750
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2009 (17.509377115329 yrs)
- Last Updated
- May 12, 2025
- Licenses
-
C-00917 (MI)6301015286 (MI)6301015286 (MI)6301015286 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1199 TEAKWOOD CIRHASLETT, MI, 488409734Browse MI providers · Browse ZIP 48840
- Phone
- 2026302790
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Geriatric Psychologist
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in HASLETT, MI
| Name | Credential | NPI |
|---|---|---|
| LEONARD VANDERJAGT | PH.D. | 1326054495 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.