Provider Demographics
NPI:1093839466
Name:POPE, CYNTHIA B (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:B
Last Name:POPE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8307 UNIVERSITY EXECUTIVE PARK DR
Mailing Address - Street 2:SUITE 256
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-1360
Mailing Address - Country:US
Mailing Address - Phone:704-548-3500
Mailing Address - Fax:704-849-6795
Practice Address - Street 1:8307 UNIVERSITY EXECUTIVE PARK DR
Practice Address - Street 2:SUITE 256
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-1360
Practice Address - Country:US
Practice Address - Phone:704-548-3500
Practice Address - Fax:704-849-6795
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNCBLPC4528101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional