Provider Demographics
NPI:1174831531
Name:CAJIGAS-DIAS, MARITZA (MA,CCC-SLP/TSHH)
Entity Type:Individual
Prefix:MRS
First Name:MARITZA
Middle Name:
Last Name:CAJIGAS-DIAS
Suffix:
Gender:F
Credentials:MA,CCC-SLP/TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14118 77TH AVE APT F
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-2852
Mailing Address - Country:US
Mailing Address - Phone:347-881-6771
Mailing Address - Fax:718-380-8753
Practice Address - Street 1:102-40A 67 DR
Practice Address - Street 2:SUITE C
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375
Practice Address - Country:US
Practice Address - Phone:347-881-6771
Practice Address - Fax:718-380-8753
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-20
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016107-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist