Provider Demographics
NPI:1275649253
Name:BAUBACH, CYNTHIA S (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:S
Last Name:BAUBACH
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 DORSETT DR
Mailing Address - Street 2:SUITE 209
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-2278
Mailing Address - Country:US
Mailing Address - Phone:704-637-0960
Mailing Address - Fax:
Practice Address - Street 1:103 DORSETT DR
Practice Address - Street 2:SUITE 209
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2278
Practice Address - Country:US
Practice Address - Phone:704-637-0960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2906101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional