Provider Demographics
NPI:1649411919
Name:MAHER, CAREY
Entity Type:Individual
Prefix:MR
First Name:CAREY
Middle Name:
Last Name:MAHER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 SCALEYBARK RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-2608
Mailing Address - Country:US
Mailing Address - Phone:704-567-8690
Mailing Address - Fax:704-536-6030
Practice Address - Street 1:107 SCALEYBARK RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-2608
Practice Address - Country:US
Practice Address - Phone:704-567-8690
Practice Address - Fax:704-536-6030
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor