Healthcare Provider Details

I. General information

NPI: 1861009417
Provider Name (Legal Business Name): MARGARET M. MAHER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2020
Last Update Date: 02/19/2023
Certification Date: 02/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 POST RD W FL 2
WESTPORT CT
06880-4235
US

IV. Provider business mailing address

55 POST RD W FL 2
WESTPORT CT
06880-4235
US

V. Phone/Fax

Practice location:
  • Phone: 203-557-8007
  • Fax:
Mailing address:
  • Phone: 203-557-8007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number003615
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number003615
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number003615
License Number StateCT
# 4
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number003615
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: