Provider Demographics
NPI:1851830798
Name:MAURER, MEREDITH RIGGAN (MA LPC)
Entity Type:Individual
Prefix:MS
First Name:MEREDITH
Middle Name:RIGGAN
Last Name:MAURER
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45799 SHEFFIELD DR
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-3946
Mailing Address - Country:US
Mailing Address - Phone:248-763-5482
Mailing Address - Fax:
Practice Address - Street 1:409 PLYMOUTH RD STE 226
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-1497
Practice Address - Country:US
Practice Address - Phone:248-763-5482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-13
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014783101Y00000X
MI60401014783101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor