Provider Demographics
NPI:1467737213
Name:MORGAN-D'ATRIO, CYNTHIA P (PHD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:P
Last Name:MORGAN-D'ATRIO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72018 LIVE OAK ST
Mailing Address - Street 2:
Mailing Address - City:ABITA SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70420-2344
Mailing Address - Country:US
Mailing Address - Phone:504-858-3875
Mailing Address - Fax:
Practice Address - Street 1:600 N HIGHWAY 190
Practice Address - Street 2:SUITE 211
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-5003
Practice Address - Country:US
Practice Address - Phone:985-898-0582
Practice Address - Fax:985-898-0559
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-12
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA847103TF0200X, 103T00000X, 103TB0200X, 103TC2200X, 103TF0000X, 103TM1800X, 103TP2701X, 103TS0200X
103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1176524Medicaid