Basic Information
Provider Information
NPI: 1003140781
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MAHER
FirstName: FAYE
MiddleName: CLARE
NamePrefix: MS.
NameSuffix:  
Credential: L.P.C.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2915 SENECA ST
Address2:  
City: KANSAS CITY
State: KS
PostalCode: 661033239
CountryCode: US
TelephoneNumber: 8167039187
FaxNumber:  
Practice Location
Address1: 10550 MARTY ST
Address2: SUITE 102
City: OVERLAND PARK
State: KS
PostalCode: 662122557
CountryCode: US
TelephoneNumber: 9139526696
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/28/2009
LastUpdateDate: 01/06/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X2139KSY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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