Doctor Name: | DR. CYNTHIA ANN CUTSHALL |
NPI Number: | 1184767394 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 21217 |
Business Practice Address: | 1928 Saint Marys Rd Moraga, CA - 945562715 |
Business Phone Number: | 9256314364 |
Business Fax Number: | |
Mailing Address: | 1928 Saint Marys Rd, MORAGA |
State: | CA |
Postal Code: | 945562715 |
Phone Number: | 9256314364 |
Fax Number: | |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 12/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 21217 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |