Doctor Name: | DR. CYNTHIA FAVRET |
NPI Number: | 1043481229 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 0107001417 |
Business Practice Address: | 166 Devon Rd Williamsburg, VA - 231881560 |
Business Phone Number: | 7575656367 |
Business Fax Number: | |
Mailing Address: | 166 Devon Rd, WILLIAMSBURG |
State: | VA |
Postal Code: | 231881560 |
Phone Number: | 7575656367 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2008 |
NPI Last Update Date: | 03/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TM1800X |
License Number: | 0107001417 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Mental Retardation & Developmental Disabilities |
Taxonomy Definition: |