Individual
MR. EZRA MAURER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
15 PINECREST DR, ESSEX JUNCTION, VT 05452-2912
(802) 288-1087
Mailing address
86 LAKE ST, BURLINGTON, VT 05401-5297
(802) 865-3450
(802) 863-3549
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0470045050
VT
Other
Enumeration date
05/27/2009
Last updated
07/29/2010
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