National Provider Identifier

Maia Kozak, CCC-SLP

Maia Kozak, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Buffalo, NY and a listed phone number of (716) 324-2734.

NPI 1235857491Buffalo, NYSpeech-Language Pathologist

Profile Overview

NPI
1235857491
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
August 15, 2022
Last Updated
August 15, 2022

Practice Location

  • 4635 Union RD
  • Buffalo, NY 14225-1851

Phone: (716) 324-2734

Mailing Address

  • 6321 Mayflower Ln
  • Lake View, NY 14085-9683

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1235857491
Entity Type
Individual
Last Name
Kozak
First Name
Maia
Credential
CCC-SLP
Mailing Street Address
6321 Mayflower Ln
Mailing City
Lake View
Mailing State
NY
Mailing ZIP Code
14085-9683
Mailing Country
US
Mailing Phone
(716) 374-3356
Practice Street Address
4635 Union RD
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14225-1851
Practice Country
US
Practice Phone
(716) 324-2734
Enumeration Date
August 15, 2022
Last Updated
August 15, 2022
Sex
Female
Sole Proprietor
No
Certification Date
August 15, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)