Provider Demographics
NPI:1003978925
Name:MAGISTRO, CYNTHIA A (PHD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:A
Last Name:MAGISTRO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6315 FORBES AVE
Mailing Address - Street 2:L-120
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1745
Mailing Address - Country:US
Mailing Address - Phone:412-345-5512
Mailing Address - Fax:412-345-3788
Practice Address - Street 1:6315 FORBES AVE
Practice Address - Street 2:L-120
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1745
Practice Address - Country:US
Practice Address - Phone:412-345-5512
Practice Address - Fax:412-345-3788
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006913L103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist