Provider Demographics
NPI:1811626534
Name:VOUTHAS MAZA, CINDY (MED, LCSW)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:VOUTHAS MAZA
Suffix:
Gender:F
Credentials:MED, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 N SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670-1036
Mailing Address - Country:US
Mailing Address - Phone:201-564-7331
Mailing Address - Fax:201-564-5788
Practice Address - Street 1:101 N SUMMIT ST
Practice Address - Street 2:
Practice Address - City:TENAFLY
Practice Address - State:NJ
Practice Address - Zip Code:07670-1036
Practice Address - Country:US
Practice Address - Phone:201-564-7331
Practice Address - Fax:201-564-5788
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC060948001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical