Provider Demographics
NPI:1407178767
Name:ROBY, CYNTHIA M (LPCC)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:M
Last Name:ROBY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:788 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44907-1921
Mailing Address - Country:US
Mailing Address - Phone:419-756-2828
Mailing Address - Fax:419-756-9913
Practice Address - Street 1:788 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44907-1921
Practice Address - Country:US
Practice Address - Phone:419-756-2828
Practice Address - Fax:419-756-9133
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-26
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0500416101YP2500X
OHOH1007589101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool