Provider Demographics
NPI:1811016793
Name:MAIER, CATHERINE S (MA)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:S
Last Name:MAIER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 BERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05866
Mailing Address - Country:US
Mailing Address - Phone:802-626-3535
Mailing Address - Fax:
Practice Address - Street 1:3126 RTE 122
Practice Address - Street 2:
Practice Address - City:SHEFFIELD
Practice Address - State:VT
Practice Address - Zip Code:05866
Practice Address - Country:US
Practice Address - Phone:802-626-3535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0680000324101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1006823Medicaid