Provider Demographics
NPI:1811598881
Name:MARIA S. FLAX, PH.D., LICENSED PSYCHOLOGIST, INC.
Entity Type:Organization
Organization Name:MARIA S. FLAX, PH.D., LICENSED PSYCHOLOGIST, INC.
Other - Org Name:JEFFERSON FAMILY SERVICES, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT, PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLAX
Authorized Official - Suffix:
Authorized Official - Credentials:PSY: 24642
Authorized Official - Phone:951-972-2841
Mailing Address - Street 1:27715 JEFFERSON AVE STE 112
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-6601
Mailing Address - Country:US
Mailing Address - Phone:951-972-2841
Mailing Address - Fax:
Practice Address - Street 1:27715 JEFFERSON AVE STE 112
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-6601
Practice Address - Country:US
Practice Address - Phone:951-972-2841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-05
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty