Provider Demographics
NPI:1962785907
Name:GURARIY, MAYA (AUD)
Entity type:Individual
Prefix:DR
First Name:MAYA
Middle Name:
Last Name:GURARIY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:MAYA
Other - Middle Name:
Other - Last Name:BERENSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD
Mailing Address - Street 1:2401 PGA BLVD STE 128
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-3515
Mailing Address - Country:US
Mailing Address - Phone:561-500-3277
Mailing Address - Fax:
Practice Address - Street 1:2401 PGA BLVD STE 128
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3515
Practice Address - Country:US
Practice Address - Phone:561-500-3277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-26
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1726231H00000X
NY002359231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist