Provider Demographics
NPI:1598942393
Name:MAHER, HALLA TERESA (MSW)
Entity Type:Individual
Prefix:
First Name:HALLA
Middle Name:TERESA
Last Name:MAHER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E ESPLANADE DR STE 660
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-0530
Mailing Address - Country:US
Mailing Address - Phone:805-981-2883
Mailing Address - Fax:213-427-6162
Practice Address - Street 1:500 E ESPLANADE DR STE 660
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-0530
Practice Address - Country:US
Practice Address - Phone:805-981-2883
Practice Address - Fax:213-427-6162
Is Sole Proprietor?:No
Enumeration Date:2008-01-24
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW62213104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker