Provider Demographics
NPI:1225290356
Name:DEUTSCH, CYNTHIA PRICE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:PRICE
Last Name:DEUTSCH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 LANSDOWNE
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-5650
Mailing Address - Country:US
Mailing Address - Phone:203-254-0543
Mailing Address - Fax:
Practice Address - Street 1:139 LANSDOWNE
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-5650
Practice Address - Country:US
Practice Address - Phone:203-254-0543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000457103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
620000154Medicare PIN