Healthcare Provider Details

I. General information

NPI: 1003826074
Provider Name (Legal Business Name): DONNA MARIE MAIER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 06/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

743 REYNARD AVE
CINCINNATI OH
45231-5050
US

IV. Provider business mailing address

743 REYNARD AVE
CINCINNATI OH
45231-5050
US

V. Phone/Fax

Practice location:
  • Phone: 513-739-8705
  • Fax: 937-848-2080
Mailing address:
  • Phone: 513-739-8705
  • Fax: 937-848-2080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number4939
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4939
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: