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Organization

STACEY MAX, PSY.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STACEY MAX PSY.D. (CLINICAL PSYCHOLOGIST)
(847) 275-5589
Entity
Organization

Contact information

Practice address
250 PARKWAY DR, SUITE 150, LINCOLNSHIRE, IL 60069-4322
(847) 275-5589
Mailing address
250 PARKWAY DR, SUITE 150, LINCOLNSHIRE, IL 60069-4322
(847) 275-5589

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.005848
IL

Other

Enumeration date
01/27/2012
Last updated
01/27/2012
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