Basic Information
| Provider Information | |||||||||
| NPI: | 1154340669 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MAUS | ||||||||
| FirstName: | JOAN | ||||||||
| MiddleName: | ELIZABETH | ||||||||
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| Credential: | MSSW, LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7701 N LAMAR BLVD | ||||||||
| Address2: | STE 206 | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787521022 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1500 W UNIVERSITY AVE | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | GEORGETOWN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786287108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5123418908 | ||||||||
| FaxNumber: | 5128683239 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/18/2006 | ||||||||
| LastUpdateDate: | 01/31/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 36327 | TX | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.