Provider Demographics
NPI:1275885907
Name:MATTHEWS, CYNTHIA HELEN (LPC, NCC)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:HELEN
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4817 MEDICAL CENTER DR UNIT 3A
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1886
Mailing Address - Country:US
Mailing Address - Phone:972-260-9650
Mailing Address - Fax:469-209-4388
Practice Address - Street 1:4817 MEDICAL CENTER DR. UNIT 3A
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069
Practice Address - Country:US
Practice Address - Phone:972-260-9650
Practice Address - Fax:469-209-4388
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69221101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional