Provider Demographics
NPI:1508541889
Name:MAW, SANDY S (MA)
Entity Type:Individual
Prefix:
First Name:SANDY
Middle Name:S
Last Name:MAW
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:SANDY
Other - Middle Name:SU MYAT
Other - Last Name:MAW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8550 S HARLEM AVE STE G
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60455-1775
Mailing Address - Country:US
Mailing Address - Phone:630-277-9036
Mailing Address - Fax:
Practice Address - Street 1:8550 S HARLEM AVE STE G
Practice Address - Street 2:
Practice Address - City:BRIDGEVIEW
Practice Address - State:IL
Practice Address - Zip Code:60455-1775
Practice Address - Country:US
Practice Address - Phone:630-277-9036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor