=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962753897
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARAH MAURER LMFT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/02/2012
-----------------------------------------------------
Last Update Date | 09/21/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4 MARKET PLACE DR
-----------------------------------------------------
City | YORK
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 03909
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-730-0557
-----------------------------------------------------
Fax | 603-430-3753
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 41 OSGOOD RD
-----------------------------------------------------
City | KENSINGTON
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03833
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-431-6703
-----------------------------------------------------
Fax | 603-430-3753
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | XM4190
-----------------------------------------------------
License Number State | ME
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | 182
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------