Doctor Name: | JOSEPH DAVID MAIER |
NPI Number: | 1235108267 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 2763 |
Business Practice Address: | 851 Ireland Ave Fort Knox, KY - 401212722 |
Business Phone Number: | 5026249333 |
Business Fax Number: | |
Mailing Address: | 10707 Chain Ivy Ct, LOUISVILLE |
State: | KY |
Postal Code: | 402915025 |
Phone Number: | 5022319691 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2763 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |