Provider Demographics
NPI:1003156977
Name:ESCANDELL, CINDY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:
Last Name:ESCANDELL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6016 NAVAHO TRL
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-2735
Mailing Address - Country:US
Mailing Address - Phone:318-451-1110
Mailing Address - Fax:318-448-9088
Practice Address - Street 1:6016 NAVAHO TRL
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-2735
Practice Address - Country:US
Practice Address - Phone:318-451-1110
Practice Address - Fax:318-448-9088
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3631101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional