Provider Demographics
NPI:1578058111
Name:RAWLINS, MAXINE LOUISE (PHD)
Entity Type:Individual
Prefix:DR
First Name:MAXINE
Middle Name:LOUISE
Last Name:RAWLINS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 STOUGHTON ST
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-1770
Mailing Address - Country:US
Mailing Address - Phone:781-341-8223
Mailing Address - Fax:781-341-2231
Practice Address - Street 1:120 STOUGHTON ST
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-1770
Practice Address - Country:US
Practice Address - Phone:781-341-8223
Practice Address - Fax:781-341-2231
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-26
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2632-PY-PR103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical