Provider Demographics
NPI:1689958886
Name:MAKOVOZ, NECHAMA ROCHAIL (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:NECHAMA
Middle Name:ROCHAIL
Last Name:MAKOVOZ
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 1:409 YESHIVA LN
Mailing Address - Street 2:APT #3A
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208
Mailing Address - Country:US
Mailing Address - Phone:410-484-4736
Mailing Address - Fax:
Practice Address - Street 1:409 YESHIVA LN
Practice Address - Street 2:APT #3A
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208
Practice Address - Country:US
Practice Address - Phone:410-484-4736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-06
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDMA#43503777500Medicaid