Provider Demographics
NPI:1043268725
Name:SAVOIE, CYNTHIA ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ANN
Last Name:SAVOIE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:CYNTHIA
Other - Middle Name:ANN
Other - Last Name:SAVOIE-PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:8120 NE ROYAL ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-7243
Mailing Address - Country:US
Mailing Address - Phone:360-256-9465
Mailing Address - Fax:360-256-2378
Practice Address - Street 1:8120 NE ROYAL ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-7243
Practice Address - Country:US
Practice Address - Phone:360-256-9465
Practice Address - Fax:360-256-2378
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00001972103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100500174Medicaid
WA115000924Medicare ID - Type Unspecified