Provider Demographics
NPI:1093087173
Name:CECIL, CYNTHIA MARIE (CBD, PS)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:MARIE
Last Name:CECIL
Suffix:
Gender:F
Credentials:CBD, PS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12404 E 8TH AVE # 71
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-0539
Mailing Address - Country:US
Mailing Address - Phone:509-228-3573
Mailing Address - Fax:
Practice Address - Street 1:12404 E 8TH AVE
Practice Address - Street 2:#71
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-0539
Practice Address - Country:US
Practice Address - Phone:509-228-3573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN