Healthcare Provider Details

I. General information

NPI: 1811016793
Provider Name (Legal Business Name): CATHERINE S MAIER M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3126 RTE 122
SHEFFIELD VT
05866
US

IV. Provider business mailing address

5 BERRY HILL RD
SHEFFIELD VT
05866
US

V. Phone/Fax

Practice location:
  • Phone: 802-626-3535
  • Fax:
Mailing address:
  • Phone: 802-626-3535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0680000324
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: