Provider Demographics
NPI:1548387400
Name:BIGLER, CYNTHIA ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ANN
Last Name:BIGLER
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 1:13009 PORTSMOUTH DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-8640
Mailing Address - Country:US
Mailing Address - Phone:317-815-4916
Mailing Address - Fax:317-815-4919
Practice Address - Street 1:13009 PORTSMOUTH DR
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-8640
Practice Address - Country:US
Practice Address - Phone:317-815-4916
Practice Address - Fax:317-815-4919
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20040227A103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000218051OtherANTHEM BC BS
KY0004351950OtherAETNA
IN000000218051OtherUNICARE
KY000000218051OtherANTHEM FEP
IN4351950OtherAETNA
IN1557670Medicare UPIN
IL200620AMedicare ID - Type UnspecifiedMEDICARE #