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General NPI Number Information
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NPI Number | 1467630095
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Entity Type | Organization
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Legal Business Name | MAIER PSYCHOLOGICAL SERVICES LTD
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 02/13/2013
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Provider Practice Location Address
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Address Line | 743 REYNARD AVE
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City | CINCINNATI
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State | OH
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Zip | 45231-5050
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Country | US
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Telephone | 513-739-8705
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Fax | 937-848-2080
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Provider Business Mailing Address
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Address Line | 743 REYNARD AVE
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City | CINCINNATI
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State | OH
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Zip | 45231-5050
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Country | US
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Telephone | 513-739-8705
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Fax | 937-848-2080
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. DONNA M. MAIER
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Credential | PH.D.
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Telephone | 513-739-8705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4939
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License Number State | OH
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