Provider Demographics
NPI:1639391873
Name:COBB, CYNTHIA (MA SP)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:
Last Name:COBB
Suffix:
Gender:F
Credentials:MA SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1980 E 116TH ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-3599
Mailing Address - Country:US
Mailing Address - Phone:317-843-2801
Mailing Address - Fax:317-843-2838
Practice Address - Street 1:1980 E 116TH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-3599
Practice Address - Country:US
Practice Address - Phone:317-843-2801
Practice Address - Fax:317-843-2838
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN2200370235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist