Provider Demographics
NPI:1619048444
Name:ROBLES, CYNTHIA (CYNTHIA ROBLES)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:ROBLES
Suffix:
Gender:F
Credentials:CYNTHIA ROBLES
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:LEA
Other - Last Name:LECHUGA ROBLES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CYNTHIA ROBLES
Mailing Address - Street 1:32605 TEMECULA PKWY
Mailing Address - Street 2:303
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-3878
Mailing Address - Country:US
Mailing Address - Phone:951-440-0435
Mailing Address - Fax:951-346-3322
Practice Address - Street 1:43668 ORTONA ST
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-3878
Practice Address - Country:US
Practice Address - Phone:951-440-0435
Practice Address - Fax:951-346-3322
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC24511106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist