Provider Demographics
NPI:1851706337
Name:MAURER, FRIEDRICH C III (LPC)
Entity Type:Individual
Prefix:MR
First Name:FRIEDRICH
Middle Name:C
Last Name:MAURER
Suffix:III
Gender:M
Credentials:LPC
Other - Prefix:MR
Other - First Name:FRITZ
Other - Middle Name:
Other - Last Name:MAURER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:350 PHOENIXVILLE ROAD
Mailing Address - Street 2:
Mailing Address - City:CHAPLIN
Mailing Address - State:CT
Mailing Address - Zip Code:06235
Mailing Address - Country:US
Mailing Address - Phone:860-885-8374
Mailing Address - Fax:
Practice Address - Street 1:350 PHOENIXVILLE RD
Practice Address - Street 2:
Practice Address - City:CHAPLIN
Practice Address - State:CT
Practice Address - Zip Code:06235-2419
Practice Address - Country:US
Practice Address - Phone:860-885-8374
Practice Address - Fax:866-203-2138
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-24
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002401101YP2500X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health