Provider Demographics
NPI:1972846608
Name:ZAYAS, MARIA ANTONIETA (EDD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ANTONIETA
Last Name:ZAYAS
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 PECKS RD
Mailing Address - Street 2:
Mailing Address - City:DAHLONEGA
Mailing Address - State:GA
Mailing Address - Zip Code:30533-8037
Mailing Address - Country:US
Mailing Address - Phone:706-429-3904
Mailing Address - Fax:
Practice Address - Street 1:63 PECKS RD
Practice Address - Street 2:
Practice Address - City:DAHLONEGA
Practice Address - State:GA
Practice Address - Zip Code:30533-8037
Practice Address - Country:US
Practice Address - Phone:706-429-3904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-01
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1961103T00000X, 103TC1900X
GAPSY003103103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103T00000XBehavioral Health & Social Service ProvidersPsychologist