Provider Demographics
NPI:1659501153
Name:MENSAH, CYNTHIA OPOKU (SCHOOL PSYCHOLOGIST)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:OPOKU
Last Name:MENSAH
Suffix:
Gender:F
Credentials:SCHOOL PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 THIERIOT AVE APT 7C
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10473-2825
Mailing Address - Country:US
Mailing Address - Phone:917-549-5986
Mailing Address - Fax:
Practice Address - Street 1:880 THIERIOT AVE APT 7C
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473-2825
Practice Address - Country:US
Practice Address - Phone:917-549-5986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-17
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1209012103TS0200X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program