Doctor Name: | RICHARD ALLEN SYPNIEWSKI |
NPI Number: | 1083050918 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPCC |
License Number: | LPC343 |
Business Practice Address: | 32605 Temecula Pkwy Suite 202 Temecula, CA - 925926837 |
Business Phone Number: | 7608228310 |
Business Fax Number: | |
Mailing Address: | 25060 Hancock Ave, Box # 103-273 MURRIETA |
State: | CA |
Postal Code: | 925625930 |
Phone Number: | 7608617812 |
Fax Number: | |
NPI Enumeration Date: | 05/19/2013 |
NPI Last Update Date: | 05/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC343 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |