Provider Demographics
NPI:1326547829
Name:GINYARD, CYNTHIA MELISSA
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:MELISSA
Last Name:GINYARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11418 OAK LAKE RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7006
Mailing Address - Country:US
Mailing Address - Phone:832-444-4073
Mailing Address - Fax:281-530-9623
Practice Address - Street 1:11418 OAK LAKE RIDGE CT
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-7006
Practice Address - Country:US
Practice Address - Phone:832-444-4073
Practice Address - Fax:281-530-9623
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-09
Last Update Date:2018-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11262235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist