Provider Demographics
NPI:1578996674
Name:EKUS, MAYA S (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MAYA
Middle Name:S
Last Name:EKUS
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12614 GOULD RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-3824
Mailing Address - Country:US
Mailing Address - Phone:702-525-8514
Mailing Address - Fax:
Practice Address - Street 1:707 EDGEWOOD ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-3341
Practice Address - Country:US
Practice Address - Phone:202-635-4590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist