Provider Demographics
NPI:1821109927
Name:HOSMAN, CYNTHIA (LCPC, MA)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:HOSMAN
Suffix:
Gender:F
Credentials:LCPC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 E GLAVIN CT
Mailing Address - Street 2:UNIT #3
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60074-2207
Mailing Address - Country:US
Mailing Address - Phone:847-202-3299
Mailing Address - Fax:
Practice Address - Street 1:3000 DUNDEE RD
Practice Address - Street 2:SUITE 411-412
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-2422
Practice Address - Country:US
Practice Address - Phone:847-202-3299
Practice Address - Fax:847-205-0377
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool