Provider Demographics
NPI:1790145464
Name:JENEI, MARIA SZILVIA (PSYD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:SZILVIA
Last Name:JENEI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4134 LINDEN AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45432-3035
Mailing Address - Country:US
Mailing Address - Phone:937-254-7301
Mailing Address - Fax:
Practice Address - Street 1:4134 LINDEN AVE STE 200
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45432-3035
Practice Address - Country:US
Practice Address - Phone:937-254-7301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health