1710105788 NPI number — DR. ROBERT L MAIERHOFER PH.D.

Table of content: DR. ROBERT L MAIERHOFER PH.D. (NPI 1710105788)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710105788 NPI number — DR. ROBERT L MAIERHOFER PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MAIERHOFER
Provider First Name:
ROBERT
Provider Middle Name:
L
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710105788
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
103 BRUNSWICK AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GARDINER
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04345-2501
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-582-3065
Provider Business Mailing Address Fax Number:
207-846-9012

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
103 BRUNSWICK AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GARDINER
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04345-2501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-582-3065
Provider Business Practice Location Address Fax Number:
207-846-9012
Provider Enumeration Date:
04/23/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  PS514 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 010807 . This is a "PSYCHOLOGIST (ANTHEM)" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".