Provider Demographics
NPI:1407810542
Name:MAURINA, ANNE B (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:B
Last Name:MAURINA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ANNE
Other - Middle Name:BOHEON
Other - Last Name:MAURINA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:9717 LANDMARK PARKWAY DR
Mailing Address - Street 2:SUITE 208 (MEIER CLINICS)
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63127-1628
Mailing Address - Country:US
Mailing Address - Phone:314-849-2120
Mailing Address - Fax:314-416-2900
Practice Address - Street 1:9717 LANDMARK PARKWAY DR
Practice Address - Street 2:SUITE 208 (MEIER CLINICS)
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127-1628
Practice Address - Country:US
Practice Address - Phone:314-849-2120
Practice Address - Fax:314-416-2900
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006029913103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical