Healthcare Provider Details

I. General information

NPI: 1073593869
Provider Name (Legal Business Name): PATRICIA L MAY-AWAYA LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PSC 482 BOX 2927
FPO AP
96362-2927
US

IV. Provider business mailing address

PSC 482 BOX 2927
FPO AP
96362
US

V. Phone/Fax

Practice location:
  • Phone: 816116342747
  • Fax: 816116342748
Mailing address:
  • Phone: 811-634-2747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number15
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: