Provider Demographics
NPI:1689796476
Name:FERRANTE, CYNTHIA L (SLP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:L
Last Name:FERRANTE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8669 W MAUNA LOA LN
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-3758
Mailing Address - Country:US
Mailing Address - Phone:602-647-0133
Mailing Address - Fax:
Practice Address - Street 1:8669 W MAUNA LOA LN
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-3758
Practice Address - Country:US
Practice Address - Phone:602-647-0133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP1334235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist