Provider Demographics
NPI:1417560228
Name:ST. GERMAIN, MARIA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:ST. GERMAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6419 N VANDIVER RD APT 3308
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-4488
Mailing Address - Country:US
Mailing Address - Phone:425-495-7022
Mailing Address - Fax:
Practice Address - Street 1:5000 SCHERTZ PKWY STE 200
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-1403
Practice Address - Country:US
Practice Address - Phone:210-610-9175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-31
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst