Provider Demographics
NPI:1750637286
Name:MCGUIRE, MAUREEN HELEN (MS/SE)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:HELEN
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:MS/SE
Other - Prefix:MS
Other - First Name:MAUREEN
Other - Middle Name:HELEN
Other - Last Name:RACHEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:78 FRANKEL RD
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-7261
Mailing Address - Country:US
Mailing Address - Phone:516-798-2920
Mailing Address - Fax:
Practice Address - Street 1:78 FRANKEL RD
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-7261
Practice Address - Country:US
Practice Address - Phone:516-798-2920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency