Doctor Name: | MS. CYNTHIA ROSE BADGER |
NPI Number: | 1013005081 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W.-R |
License Number: | 074783 |
Business Practice Address: | 530 Oak St Syracuse, NY - 132031652 |
Business Phone Number: | 3154396048 |
Business Fax Number: | 3154739300 |
Mailing Address: | 530 Oak St, SYRACUSE |
State: | NY |
Postal Code: | 132031652 |
Phone Number: | 3154396048 |
Fax Number: | 3154739300 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 074783 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |