Provider Demographics
NPI:1437533551
Name:FAULKNER, CYNTHIA ANN (PHD, LCSW, ACSW)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ANN
Last Name:FAULKNER
Suffix:
Gender:F
Credentials:PHD, LCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6537 S STAPLES ST. STE. 125
Mailing Address - Street 2:BOX 221
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-5423
Mailing Address - Country:US
Mailing Address - Phone:606-356-7094
Mailing Address - Fax:
Practice Address - Street 1:5866 S STAPLES ST STE 102
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-3769
Practice Address - Country:US
Practice Address - Phone:606-356-7094
Practice Address - Fax:612-711-3693
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-18
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202671041C0700X
KY32761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical