Individual
DR. CAROL T. MAXFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
115 E 9TH ST, APT 2E, NEW YORK, NY 10003-5414
(917) 655-0533
(413) 528-6170
Mailing address
PO BOX 221, GREAT BARRINGTON, MA 01230-0221
(917) 655-0533
(413) 528-6170
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
011351
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02785326
—
NY
Enumeration date
11/08/2006
Last updated
07/09/2007
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