| Doctor Name: | CYNTHIA ANNE HERNDON |
| NPI Number: | 1295755460 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 1754171 |
| Business Practice Address: | 5265 S.w. 95th Ave. Cooper City, FL - 33328 |
| Business Phone Number: | 3053244455 |
| Business Fax Number: | 3055753380 |
| Mailing Address: | 5265 Sw 95th Ave, COOPER CITY |
| State: | FL |
| Postal Code: | 333284144 |
| Phone Number: | 3053244455 |
| Fax Number: | 3055753380 |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1754171 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |