Provider Demographics
NPI:1811596158
Name:TOTH, CYNTHIA LYNN (MS)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:LYNN
Last Name:TOTH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:HORSEHEADS
Mailing Address - State:NY
Mailing Address - Zip Code:14845-2254
Mailing Address - Country:US
Mailing Address - Phone:607-358-0909
Mailing Address - Fax:607-376-7050
Practice Address - Street 1:902 W BROAD ST
Practice Address - Street 2:
Practice Address - City:HORSEHEADS
Practice Address - State:NY
Practice Address - Zip Code:14845-2254
Practice Address - Country:US
Practice Address - Phone:607-358-0909
Practice Address - Fax:607-376-7050
Is Sole Proprietor?:No
Enumeration Date:2020-10-19
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011631101YM0800X
FL21639101YM0800X
PA016687101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health