Provider Demographics
NPI:1548223910
Name:CUNNINGHAMM, MS CORP, CYNTHEA ANNE (MS)
Entity Type:Individual
Prefix:
First Name:CYNTHEA
Middle Name:ANNE
Last Name:CUNNINGHAMM, MS CORP
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:CYNTHEA
Other - Middle Name:ANNE
Other - Last Name:LINDAMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:323 W 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203
Mailing Address - Country:US
Mailing Address - Phone:509-838-3221
Mailing Address - Fax:509-838-0002
Practice Address - Street 1:323 W 15TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203
Practice Address - Country:US
Practice Address - Phone:509-838-3221
Practice Address - Fax:509-838-0002
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004671101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health