Doctor Name: | CYNTHIA BERGSTROM DEVLIN |
NPI Number: | 1245249747 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C., L.M.F.T. |
License Number: | 0701001841 |
Business Practice Address: | 1 Mill St Suite 201 Farmville, VA - 239013400 |
Business Phone Number: | 4343929859 |
Business Fax Number: | |
Mailing Address: | Po Box 512, FARMVILLE |
State: | VA |
Postal Code: | 239010512 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0701001841 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |