Individual
MAXINE WEISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
315 METCALF ST, NEW BERN, NC 28562-5687
(914) 772-3230
Mailing address
315 METCALF ST, NEW BERN, NC 28562-5687
(914) 772-3230
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
008818
NY
Other
Enumeration date
05/18/2006
Last updated
05/07/2020
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