Provider Demographics
NPI:1902962012
Name:MAIER, INGER M (PHD)
Entity Type:Individual
Prefix:DR
First Name:INGER
Middle Name:M
Last Name:MAIER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 GROZIER RD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-3315
Mailing Address - Country:US
Mailing Address - Phone:978-302-0025
Mailing Address - Fax:
Practice Address - Street 1:92 GROZIER RD
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-3315
Practice Address - Country:US
Practice Address - Phone:978-302-0025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-31
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3160103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAWO3308OtherBLUE SHIELD
MA0004592213OtherAETNA
MAWO3308OtherBLUE SHIELD
MA051923000OtherMAGELLAN
MA0004592213OtherAETNA