Provider Demographics
NPI:1063672533
Name:THRASHER, CYNTHIA L (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:CYNTHIA
Middle Name:L
Last Name:THRASHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5411 26TH ST W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34207-3170
Mailing Address - Country:US
Mailing Address - Phone:941-756-3385
Mailing Address - Fax:941-753-2140
Practice Address - Street 1:5411 26TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34207-3170
Practice Address - Country:US
Practice Address - Phone:941-756-3385
Practice Address - Fax:941-753-2140
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW8106106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist