1104978261 NPI number — INGER M MAIER PHD

Table of content: MRS. DANIELLE MARIE OBEY LICSW (NPI 1659075661)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104978261 NPI number — INGER M MAIER PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INGER M MAIER PHD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
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:
1104978261
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
54 NONSET PATH
Provider Second Line Business Mailing Address:
SUITE 1
Provider Business Mailing Address City Name:
ACTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01720-3418
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-263-3677
Provider Business Mailing Address Fax Number:
617-868-3552

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
54 NONSET PATH
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
ACTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01720-3418
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-263-3677
Provider Business Practice Location Address Fax Number:
617-868-3552
Provider Enumeration Date:
01/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MAIER
Authorized Official First Name:
INGER
Authorized Official Middle Name:
M
Authorized Official Title or Position:
PSYCHOLOGIST PROVIDER
Authorized Official Telephone Number:
978-263-3677

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  3160 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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