Provider Demographics
NPI:1790068393
Name:CHEEK, MAYA VICTORIA (MS, CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:MAYA
Middle Name:VICTORIA
Last Name:CHEEK
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 WASHINGTON LN
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-3213
Mailing Address - Country:US
Mailing Address - Phone:215-884-4227
Mailing Address - Fax:
Practice Address - Street 1:614 WASHINGTON LN
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3213
Practice Address - Country:US
Practice Address - Phone:215-884-4227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL000060L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist