Provider Demographics
NPI:1386248201
Name:PFEIFER, MAXINE
Entity type:Individual
Prefix:
First Name:MAXINE
Middle Name:
Last Name:PFEIFER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 HIGHWAY 52 N STE 220
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-5825
Mailing Address - Country:US
Mailing Address - Phone:507-923-7321
Mailing Address - Fax:
Practice Address - Street 1:3800 HIGHWAY 52 N STE 220
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-5825
Practice Address - Country:US
Practice Address - Phone:507-923-7321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-23
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional