Provider Demographics
NPI:1356095251
Name:BRANCH, CYDNEY V (LMHC)
Entity Type:Individual
Prefix:
First Name:CYDNEY
Middle Name:V
Last Name:BRANCH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 BUXTON AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:MA
Mailing Address - Zip Code:02726-4438
Mailing Address - Country:US
Mailing Address - Phone:570-872-7116
Mailing Address - Fax:
Practice Address - Street 1:8 BUXTON AVE APT 1
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:MA
Practice Address - Zip Code:02726-4438
Practice Address - Country:US
Practice Address - Phone:570-872-7116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA12830101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health