Doctor Name: | MRS. DAWN MAURER |
NPI Number: | 1285900589 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PLPC |
License Number: | 2012009770 |
Business Practice Address: | 18614 Whiskey Creek Rd Wildwood, MO - 630692530 |
Business Phone Number: | 3145043828 |
Business Fax Number: | |
Mailing Address: | 18614 Whiskey Creek Rd, WILDWOOD |
State: | MO |
Postal Code: | 630692530 |
Phone Number: | 3145043828 |
Fax Number: | |
NPI Enumeration Date: | 03/30/2012 |
NPI Last Update Date: | 03/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2012009770 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |