| Doctor Name: | DR. CYNTHIA M NAKOSKI |
| NPI Number: | 1649638925 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 2012640 |
| Business Practice Address: | 11980 Mount Vernon Ave Grand Terrace, CA - 923135172 |
| Business Phone Number: | 8008515816 |
| Business Fax Number: | 9514872448 |
| Mailing Address: | 11980 Mount Vernon Ave, GRAND TERRACE |
| State: | CA |
| Postal Code: | 923135172 |
| Phone Number: | 8008515816 |
| Fax Number: | 9514872448 |
| NPI Enumeration Date: | 02/02/2016 |
| NPI Last Update Date: | 02/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2012640 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |