Provider Demographics
NPI:1558895482
Name:MCINTIRE, CINDY (PHD, LMFT)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:MCINTIRE
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 S MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:BRIGHAM CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84302-6719
Mailing Address - Country:US
Mailing Address - Phone:435-230-1849
Mailing Address - Fax:
Practice Address - Street 1:60 S MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:BRIGHAM CITY
Practice Address - State:UT
Practice Address - Zip Code:84302-6719
Practice Address - Country:US
Practice Address - Phone:435-230-1849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-18
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist