Provider Demographics
NPI:1134265473
Name:MAHER, BRETT ELIZABETH (PSYD)
Entity type:Individual
Prefix:DR
First Name:BRETT
Middle Name:ELIZABETH
Last Name:MAHER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:BRETT
Other - Middle Name:ELIZABETH
Other - Last Name:LIEDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:212 TOWNE VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-8910
Mailing Address - Country:US
Mailing Address - Phone:919-377-1042
Mailing Address - Fax:
Practice Address - Street 1:212 TOWNE VILLAGE DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8910
Practice Address - Country:US
Practice Address - Phone:919-377-1042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3860103TC2200X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent