Organization Name: | INGER M MAIER PHD |
NPI Number: | 1104978261 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | INGER M MAIER (PSYCHOLOGIST PROVIDER) |
Mailing Address: | 54 Nonset Path Suite 1 Acton |
State: | MA US |
Postal Code: | 017203418 |
Phone Number: | 9782633677 |
Fax Number: | 6178683552 |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 3160 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |