| Doctor Name: | MRS. KIMBERLY ANN MAHER |
| NPI Number: | 1023359049 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC, M.A. |
| License Number: | LC6367 |
| Business Practice Address: | 22 W. Padonia Rd Suite A203 Lutherville, MD - 21093 |
| Business Phone Number: | 4433279924 |
| Business Fax Number: | |
| Mailing Address: | 2813 Alden Rd, PARKVILLE |
| State: | MD |
| Postal Code: | 21234 |
| Phone Number: | 4433279924 |
| Fax Number: | |
| NPI Enumeration Date: | 03/15/2013 |
| NPI Last Update Date: | 05/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LC6367 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |