Provider Demographics
NPI:1235193657
Name:TURK, CYNTHIA (PHD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:TURK
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 1:3649 SW BURLINGAME RD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66611-2051
Mailing Address - Country:US
Mailing Address - Phone:785-266-6751
Mailing Address - Fax:785-266-4533
Practice Address - Street 1:3649 SW BURLINGAME RD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66611-2051
Practice Address - Country:US
Practice Address - Phone:785-266-6751
Practice Address - Fax:785-266-4533
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1349103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200365100AMedicaid
KS119878Medicare ID - Type Unspecified