Provider Demographics
NPI:1245424704
Name:CAROLYN G. MAURER, PHD,LPC,LMFT, PC
Entity Type:Organization
Organization Name:CAROLYN G. MAURER, PHD,LPC,LMFT, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:G
Authorized Official - Last Name:MAURER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:972-867-2145
Mailing Address - Street 1:555 REPUBLIC DR
Mailing Address - Street 2:STE. 200
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-5481
Mailing Address - Country:US
Mailing Address - Phone:972-867-2145
Mailing Address - Fax:972-516-4207
Practice Address - Street 1:555 REPUBLIC DR
Practice Address - Street 2:STE. 200
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-5481
Practice Address - Country:US
Practice Address - Phone:972-867-2145
Practice Address - Fax:972-516-4207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty