| Doctor Name: | MRS. CYNTHIA LESLIE WESTENDORF |
| NPI Number: | 1073724886 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MCAT |
| License Number: | PC2465 |
| Business Practice Address: | 633 Palmer Ave Keansburg, NJ - 077343286 |
| Business Phone Number: | 7327876503 |
| Business Fax Number: | 7327871730 |
| Mailing Address: | 1 Bethany Rd, Building 3 Suite 42 HAZLET |
| State: | NJ |
| Postal Code: | 077301663 |
| Phone Number: | 7327876503 |
| Fax Number: | 7327871730 |
| NPI Enumeration Date: | 05/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC2465 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |