| Doctor Name: | MS. MARIS H. MENIN |
| NPI Number: | 1083652994 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSW |
| License Number: | SW012486L |
| Business Practice Address: | 3125 Ridge Pike Eagleville, PA - 194031407 |
| Business Phone Number: | 6106302111 |
| Business Fax Number: | 6106304003 |
| Mailing Address: | 3125 Ridge Pike, EAGLEVILLE |
| State: | PA |
| Postal Code: | 194031407 |
| Phone Number: | 6106302111 |
| Fax Number: | 6106304003 |
| NPI Enumeration Date: | 06/03/2006 |
| NPI Last Update Date: | 09/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW012486L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |