Provider Demographics
NPI:1407172968
Name:NEW, CYNTHIA LYNN (MED, CAC)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:LYNN
Last Name:NEW
Suffix:
Gender:F
Credentials:MED, CAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 E UWCHLAN AVE
Mailing Address - Street 2:STE. 109
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1271
Mailing Address - Country:US
Mailing Address - Phone:610-524-2488
Mailing Address - Fax:
Practice Address - Street 1:1 E UWCHLAN AVE
Practice Address - Street 2:STE. 109
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1271
Practice Address - Country:US
Practice Address - Phone:610-524-2488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)