Provider Demographics
NPI:1376585521
Name:CADIZ, HELEN ELIZABETH (PHD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:ELIZABETH
Last Name:CADIZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:
Other - Last Name:CUNNINGHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4723B NW 53RD AVE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-4399
Mailing Address - Country:US
Mailing Address - Phone:352-331-5619
Mailing Address - Fax:352-372-6910
Practice Address - Street 1:4723B NW 53RD AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-4399
Practice Address - Country:US
Practice Address - Phone:352-331-5619
Practice Address - Fax:352-372-6910
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5139103TC0700X
DCPSY1000079103TC0700X
VA0810000128103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL59638Medicare ID - Type Unspecified