Provider Demographics
NPI:1356449060
Name:MAUZE, MARGARET R (PHD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:R
Last Name:MAUZE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:M
Other - Last Name:RICHARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, ABPP
Mailing Address - Street 1:3422 ROCKYRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063
Mailing Address - Country:US
Mailing Address - Phone:832-554-6272
Mailing Address - Fax:
Practice Address - Street 1:3422 ROCKYRIDGE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5210
Practice Address - Country:US
Practice Address - Phone:832-554-6272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6259103T00000X
TX36145103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2687418Medicaid
OH2687418Medicaid
OHRICP79651Medicare PIN