Provider Demographics
NPI:1922151042
Name:DARCEY L. MAHER, PH.D., P.C.
Entity Type:Organization
Organization Name:DARCEY L. MAHER, PH.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARCEY
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:MAHER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:248-345-5307
Mailing Address - Street 1:504 UNION ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48381-1683
Mailing Address - Country:US
Mailing Address - Phone:248-345-5307
Mailing Address - Fax:248-684-6007
Practice Address - Street 1:504 UNION ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MI
Practice Address - Zip Code:48381-1683
Practice Address - Country:US
Practice Address - Phone:248-345-5307
Practice Address - Fax:248-684-6007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301012289103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty