Provider Demographics
NPI:1982888954
Name:MAURER, STEPHEN NORMAN (MA, LMFT, LMHC)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:NORMAN
Last Name:MAURER
Suffix:
Gender:M
Credentials:MA, LMFT, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 ACKERS TER
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-4159
Mailing Address - Country:US
Mailing Address - Phone:617-734-4425
Mailing Address - Fax:
Practice Address - Street 1:12 ACKERS TER
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-4159
Practice Address - Country:US
Practice Address - Phone:617-734-4425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMH 529-MF106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist