Provider Demographics
NPI:1205000536
Name:LEVITT, CINDA SUE
Entity Type:Individual
Prefix:MRS
First Name:CINDA
Middle Name:SUE
Last Name:LEVITT
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:CINDA
Other - Middle Name:SUE
Other - Last Name:COFFEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9 SPOTTED TAIL CIR
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-9806
Mailing Address - Country:US
Mailing Address - Phone:307-362-7839
Mailing Address - Fax:
Practice Address - Street 1:9 SPOTTED TAIL CIR
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-9806
Practice Address - Country:US
Practice Address - Phone:307-362-7839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services