Provider Demographics
NPI:1184851610
Name:DOERR, CINDY J
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:J
Last Name:DOERR
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:CINDY
Other - Middle Name:LYNNE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7200 SW 53RD ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66610-9115
Mailing Address - Country:US
Mailing Address - Phone:785-478-6889
Mailing Address - Fax:
Practice Address - Street 1:7200 SW 53RD ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66610-9115
Practice Address - Country:US
Practice Address - Phone:785-478-6889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1838235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist