Provider Demographics
NPI:1033856562
Name:KOTSCH, MAIJA RYAN
Entity Type:Individual
Prefix:
First Name:MAIJA
Middle Name:RYAN
Last Name:KOTSCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 KENSINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BLANDON
Mailing Address - State:PA
Mailing Address - Zip Code:19510-9518
Mailing Address - Country:US
Mailing Address - Phone:484-707-4005
Mailing Address - Fax:
Practice Address - Street 1:205 E JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-2041
Practice Address - Country:US
Practice Address - Phone:610-275-6410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist