Provider Demographics
NPI:1760626733
Name:FRANKLIN, CYNTHIA CARSSOW (CYNTHIA FRANKLIN)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:CARSSOW
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:CYNTHIA FRANKLIN
Other - Prefix:MS
Other - First Name:CYNTHIA
Other - Middle Name:CARSSOW
Other - Last Name:FRANKLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CYNTHIA FRANKLIN
Mailing Address - Street 1:64 SAGAMORE RD
Mailing Address - Street 2:# G6
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-1546
Mailing Address - Country:US
Mailing Address - Phone:917-748-4520
Mailing Address - Fax:914-202-9895
Practice Address - Street 1:64 SAGAMORE RD
Practice Address - Street 2:# G6
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-1546
Practice Address - Country:US
Practice Address - Phone:917-748-4520
Practice Address - Fax:914-202-9895
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010045-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist