Provider Demographics
NPI:1326516592
Name:MOSER, CYNTHIA JOANNE
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:JOANNE
Last Name:MOSER
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:FRANZWA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:1805 E WOOD LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-1755
Mailing Address - Country:US
Mailing Address - Phone:847-858-5281
Mailing Address - Fax:
Practice Address - Street 1:2710 GOLF RD
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-4699
Practice Address - Country:US
Practice Address - Phone:847-745-6881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-06
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146009683235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist