Provider Demographics
NPI:1326859505
Name:SCHOONOVER, MAYA HECKSEL (AUD)
Entity type:Individual
Prefix:
First Name:MAYA
Middle Name:HECKSEL
Last Name:SCHOONOVER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:MAYA
Other - Middle Name:ANN
Other - Last Name:HECKSEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:220 REGENT CT STE E
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-7969
Mailing Address - Country:US
Mailing Address - Phone:814-867-4327
Mailing Address - Fax:
Practice Address - Street 1:220 REGENT CT STE E
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-7969
Practice Address - Country:US
Practice Address - Phone:814-867-4327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601001182231H00000X
PAAT007000231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist