Provider Demographics
NPI:1215976212
Name:MAYER, PIERRE V (MD)
Entity type:Individual
Prefix:
First Name:PIERRE
Middle Name:V
Last Name:MAYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:PIERRE
Other - Middle Name:
Other - Last Name:MAYER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1 DARRELL DR
Mailing Address - Street 2:
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864-1542
Mailing Address - Country:US
Mailing Address - Phone:978-556-6263
Mailing Address - Fax:
Practice Address - Street 1:290 MERRIMACK ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-1782
Practice Address - Country:US
Practice Address - Phone:978-685-8800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA711472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3065359Medicaid