Individual
MAXINE MIESAK CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
800 E NORTHWEST HWY STE 206, MT PROSPECT, IL 60056-3457
(301) 351-7287
Mailing address
1013 WALTHOUR RD, SAVANNAH, GA 31410-2817
(301) 351-7287
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.011315
IL
Other
Enumeration date
08/27/2025
Last updated
09/02/2025
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