Doctor Name: | DR. CYNTHIA ANN EWERS |
NPI Number: | 1366597981 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 283444 |
Business Practice Address: | 1 Mile N 522 Questa Questa, NM - 875560440 |
Business Phone Number: | 5055861604 |
Business Fax Number: | |
Mailing Address: | Po Box 649, QUESTA |
State: | NM |
Postal Code: | 875560649 |
Phone Number: | 5055861092 |
Fax Number: | |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 283444 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |