Provider Demographics
NPI:1710541321
Name:BAKER, CYNTHIA HILL
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:HILL
Last Name:BAKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:BAKER, MA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, CLE
Mailing Address - Street 1:1334 CYNTHIA LN
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-1507
Mailing Address - Country:US
Mailing Address - Phone:760-434-0770
Mailing Address - Fax:
Practice Address - Street 1:1334 CYNTHIA LN
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1507
Practice Address - Country:US
Practice Address - Phone:760-434-0770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator