Provider Demographics
NPI:1679642821
Name:SCOTT, CYNTHIA (PSYCHOLOGIST)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93302-1000
Mailing Address - Country:US
Mailing Address - Phone:661-868-8014
Mailing Address - Fax:661-868-1582
Practice Address - Street 1:2151 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93305-4172
Practice Address - Country:US
Practice Address - Phone:661-868-8014
Practice Address - Fax:661-868-1582
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY17297103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist