Provider Demographics
NPI:1891110227
Name:MAXIMUM POTENTIAL INC
Entity Type:Organization
Organization Name:MAXIMUM POTENTIAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-581-0817
Mailing Address - Street 1:4500 CHAUCER WAY UNIT 401
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-6605
Mailing Address - Country:US
Mailing Address - Phone:410-998-3920
Mailing Address - Fax:410-998-3931
Practice Address - Street 1:9199 REISTERSTOWN RD
Practice Address - Street 2:203B
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4520
Practice Address - Country:US
Practice Address - Phone:410-581-0817
Practice Address - Fax:410-998-3931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-21
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00675103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty