Provider Demographics
NPI:1598152837
Name:HIGH-GUTIERREZ, CYNTHIA ANAHI (LCSW)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANAHI
Last Name:HIGH-GUTIERREZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 BRODHEAD RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-8938
Mailing Address - Country:US
Mailing Address - Phone:484-822-5700
Mailing Address - Fax:866-521-0526
Practice Address - Street 1:257 BRODHEAD RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-8938
Practice Address - Country:US
Practice Address - Phone:484-822-5700
Practice Address - Fax:866-521-0526
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-24
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011121071041C0700X
PACW0229241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical