Provider Demographics
NPI:1194587394
Name:WOJCIK, MAYA S (MA)
Entity type:Individual
Prefix:MS
First Name:MAYA
Middle Name:S
Last Name:WOJCIK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 MUNRO AVE APT 3E
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-3415
Mailing Address - Country:US
Mailing Address - Phone:914-584-8785
Mailing Address - Fax:
Practice Address - Street 1:412 MUNRO AVE APT 3E
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-3415
Practice Address - Country:US
Practice Address - Phone:914-584-8785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-24
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist