Provider Demographics
NPI:1205625803
Name:MAURER, DVON (PSYD)
Entity type:Individual
Prefix:
First Name:DVON
Middle Name:
Last Name:MAURER
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10908 COURTHOUSE RD STE 102-415
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-2658
Mailing Address - Country:US
Mailing Address - Phone:845-323-2772
Mailing Address - Fax:
Practice Address - Street 1:8200 GREENSBORO DR
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-3892
Practice Address - Country:US
Practice Address - Phone:571-255-9859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health