| Doctor Name: | MS. KATHERINE HUDSPETH MAYNARD |
| NPI Number: | 1184775694 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS |
| License Number: | 000158 |
| Business Practice Address: | 20 W Canal St Suite C2 Winooski, VT - 054042131 |
| Business Phone Number: | 8026547600 |
| Business Fax Number: | 8026547601 |
| Mailing Address: | 703 Brand Farm Dr, SOUTH BURLINGTON |
| State: | VT |
| Postal Code: | 054037542 |
| Phone Number: | 8028622182 |
| Fax Number: | 8026547601 |
| NPI Enumeration Date: | 01/13/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 000158 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |