Provider Demographics
NPI:1699970723
Name:DOYLE, MAYA HELENE (LCSW-R)
Entity type:Individual
Prefix:MRS
First Name:MAYA
Middle Name:HELENE
Last Name:DOYLE
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 W 55TH ST APT 13D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-5355
Mailing Address - Country:US
Mailing Address - Phone:347-665-8662
Mailing Address - Fax:212-957-3747
Practice Address - Street 1:145 W 55TH ST APT 13D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-5355
Practice Address - Country:US
Practice Address - Phone:347-665-8662
Practice Address - Fax:212-957-3747
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR049206-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical