Doctor Name: | CYNTHIA ANDERS |
NPI Number: | 1114344314 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PLPC |
License Number: | 2014008411 |
Business Practice Address: | 1221 Market St Hannibal, MO - 634014014 |
Business Phone Number: | 5732212111 |
Business Fax Number: | 5732212123 |
Mailing Address: | 316 West Centennial, BOWLING GREEN |
State: | MO |
Postal Code: | 634011518 |
Phone Number: | 5732212111 |
Fax Number: | 5732212123 |
NPI Enumeration Date: | 03/25/2014 |
NPI Last Update Date: | 03/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2014008411 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |