| Doctor Name: | KRISTAN MAHER |
| NPI Number: | 1437599156 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 2 Corporate Dr Central Valley, NY - 109174006 |
| Business Phone Number: | 8456512251 |
| Business Fax Number: | |
| Mailing Address: | 18 Scanlon Ave, FLORIDA |
| State: | NY |
| Postal Code: | 109211710 |
| Phone Number: | 8456510495 |
| Fax Number: | |
| NPI Enumeration Date: | 06/26/2013 |
| NPI Last Update Date: | 06/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |