Basic Information
| Provider Information | |||||||||
| NPI: | 1497709299 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROBINSON | ||||||||
| FirstName: | CYNTHIA | ||||||||
| MiddleName: | ANN | ||||||||
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| Credential: | M.ED. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 66 TROY ST | ||||||||
| Address2: | SUITES 4 & 5 | ||||||||
| City: | FALL RIVER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027203023 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5086765708 | ||||||||
| FaxNumber: | 5086761948 | ||||||||
| Practice Location | |||||||||
| Address1: | 66 TROY ST | ||||||||
| Address2: | SUITES 4 & 5 | ||||||||
| City: | FALL RIVER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027203023 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5086765708 | ||||||||
| FaxNumber: | 5086761948 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/19/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 5992 | MA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.