Provider Demographics
NPI:1821109620
Name:WOZNIAK, MAUREEN D (MS LPC)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:D
Last Name:WOZNIAK
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:450 MALL BLVD (A-Z)
Mailing Address - Street 2:A-Z
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406
Mailing Address - Country:US
Mailing Address - Phone:912-398-8250
Mailing Address - Fax:912-352-4220
Practice Address - Street 1:450 MALL BLVD (A-Z)
Practice Address - Street 2:A-Z
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406
Practice Address - Country:US
Practice Address - Phone:912-398-8250
Practice Address - Fax:912-352-4220
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002701103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist