Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health | 0C-002330-L | PA |
NPI | 1194978783 |
---|---|
Provider Name | Mrs. Deborah A. Maier |
First Address | Freeland, PA 18224-1819 |
Second Address | Freeland, PA 18224-1819 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2008 |
Last Update Date | 28/10/2008 |