Provider Demographics
NPI:1982223293
Name:MAHER, SONYA VOYTAS (LO)
Entity Type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:VOYTAS
Last Name:MAHER
Suffix:
Gender:F
Credentials:LO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 HARMUND PL
Mailing Address - Street 2:
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-1253
Mailing Address - Country:US
Mailing Address - Phone:860-836-6758
Mailing Address - Fax:860-498-0662
Practice Address - Street 1:1197 MAIN STREET
Practice Address - Street 2:
Practice Address - City:COVENTRY
Practice Address - State:CT
Practice Address - Zip Code:06109
Practice Address - Country:US
Practice Address - Phone:860-836-6758
Practice Address - Fax:604-980-6628
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1467156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician