Provider Demographics
NPI:1821042490
Name:HYATT, CINDY S (LCSW)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:S
Last Name:HYATT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 LAKE AVE
Mailing Address - Street 2:SUITE #9
Mailing Address - City:TUCKAHOE
Mailing Address - State:NY
Mailing Address - Zip Code:10707-3935
Mailing Address - Country:US
Mailing Address - Phone:914-337-4919
Mailing Address - Fax:347-602-8109
Practice Address - Street 1:111 LAKE AVE
Practice Address - Street 2:SUITE #9
Practice Address - City:TUCKAHOE
Practice Address - State:NY
Practice Address - Zip Code:10707-3935
Practice Address - Country:US
Practice Address - Phone:914-337-4919
Practice Address - Fax:347-602-8109
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR046936101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health