Provider Demographics
NPI:1427640143
Name:MAURER, RANDALL J (PHD)
Entity type:Individual
Prefix:DR
First Name:RANDALL
Middle Name:J
Last Name:MAURER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6565 INVERNESS ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-1618
Mailing Address - Country:US
Mailing Address - Phone:325-668-8799
Mailing Address - Fax:
Practice Address - Street 1:6565 INVERNESS ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-1618
Practice Address - Country:US
Practice Address - Phone:325-668-8799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-04
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist