Provider Demographics
NPI:1275594418
Name:WYNENS, MARIA SZCZEPANSKI
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:SZCZEPANSKI
Last Name:WYNENS
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 1:5885 GLENRIDGE DRIVE
Mailing Address - Street 2:SUITE 155
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5512
Mailing Address - Country:US
Mailing Address - Phone:404-252-7528
Mailing Address - Fax:404-480-8842
Practice Address - Street 1:5885 GLENRIDGE DRIVE
Practice Address - Street 2:SUITE 155
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5512
Practice Address - Country:US
Practice Address - Phone:404-252-7528
Practice Address - Fax:404-480-8842
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD001278237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter