Healthcare Provider Details

I. General information

NPI: 1962753897
Provider Name (Legal Business Name): SARAH MAURER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH RUSSELL MS

II. Dates (important events)

Enumeration Date: 10/02/2012
Last Update Date: 09/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 MARKET PLACE DR
YORK ME
03909
US

IV. Provider business mailing address

41 OSGOOD RD
KENSINGTON NH
03833
US

V. Phone/Fax

Practice location:
  • Phone: 207-730-0557
  • Fax: 603-430-3753
Mailing address:
  • Phone: 603-431-6703
  • Fax: 603-430-3753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberXM4190
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number182
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: