Provider Demographics
NPI:1518247345
Name:CORTES, CYNTHIA KAY (MSW)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:KAY
Last Name:CORTES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 455
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93613-0455
Mailing Address - Country:US
Mailing Address - Phone:559-709-2000
Mailing Address - Fax:
Practice Address - Street 1:2042 KERN ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-2008
Practice Address - Country:US
Practice Address - Phone:559-400-6420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health