Provider Demographics
NPI:1881436541
Name:MCDUFFIE, MAYA YAKIRA (MHC-LP)
Entity type:Individual
Prefix:
First Name:MAYA
Middle Name:YAKIRA
Last Name:MCDUFFIE
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1990 LEXINGTON AVE APT 26E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-2918
Mailing Address - Country:US
Mailing Address - Phone:914-979-1072
Mailing Address - Fax:332-600-5065
Practice Address - Street 1:1990 LEXINGTON AVE APT 26E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-2918
Practice Address - Country:US
Practice Address - Phone:914-979-1072
Practice Address - Fax:332-600-5065
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health