Provider Demographics
NPI:1497975270
Name:MANCINI, CYNTHIA BUTLER (PHD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:BUTLER
Last Name:MANCINI
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 1:357 RIVERSIDE DR STE 231
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-8963
Mailing Address - Country:US
Mailing Address - Phone:615-481-0547
Mailing Address - Fax:
Practice Address - Street 1:357 RIVERSIDE DR STE 231
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-8963
Practice Address - Country:US
Practice Address - Phone:615-481-0547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2698103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical