Provider Demographics
NPI:1376977942
Name:MULLINS, CYNTHIA ADELE (MASTER'S DEGREE)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:ADELE
Last Name:MULLINS
Suffix:
Gender:F
Credentials:MASTER'S DEGREE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:965 E LAWN DR
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-6604
Mailing Address - Country:US
Mailing Address - Phone:201-233-9711
Mailing Address - Fax:
Practice Address - Street 1:965 E LAWN DR
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-6604
Practice Address - Country:US
Practice Address - Phone:201-233-9711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-30
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist