Provider Demographics
NPI:1154486892
Name:NORTON, CYNTHIA DALE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:DALE
Last Name:NORTON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:CYNTHIA
Other - Middle Name:DALE
Other - Last Name:NORTON-SUBEGA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:1040 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-3150
Mailing Address - Country:US
Mailing Address - Phone:408-293-4489
Mailing Address - Fax:408-293-6188
Practice Address - Street 1:1040 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-3150
Practice Address - Country:US
Practice Address - Phone:408-293-4489
Practice Address - Fax:408-293-6188
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC28627106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist