Provider Demographics
NPI:1922530658
Name:TODD, MAYA LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:MAYA
Middle Name:LYNN
Last Name:TODD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 23229
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42304-3229
Mailing Address - Country:US
Mailing Address - Phone:270-688-1330
Mailing Address - Fax:270-688-1338
Practice Address - Street 1:2211 MAYFAIR DR STE 409
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-4570
Practice Address - Country:US
Practice Address - Phone:270-417-7980
Practice Address - Fax:270-417-7989
Is Sole Proprietor?:No
Enumeration Date:2017-03-31
Last Update Date:2023-06-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY554002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry