Provider Demographics
NPI:1083217715
Name:CYPET, HANNAH FAITH
Entity Type:Individual
Prefix:MISS
First Name:HANNAH
Middle Name:FAITH
Last Name:CYPET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4721 SOUTH CLIFF AVE SUITE 103
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENT
Mailing Address - State:MO
Mailing Address - Zip Code:64055
Mailing Address - Country:US
Mailing Address - Phone:816-368-8120
Mailing Address - Fax:800-687-5070
Practice Address - Street 1:4721 SOUTH CLIFF AVE SUITE 103
Practice Address - Street 2:
Practice Address - City:INDEPENDENT
Practice Address - State:MO
Practice Address - Zip Code:64055
Practice Address - Country:US
Practice Address - Phone:816-368-8120
Practice Address - Fax:800-687-5070
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician