Provider Demographics
NPI:1922207695
Name:HYLAND, CYNTHIA J (MA,CCC/SLP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:J
Last Name:HYLAND
Suffix:
Gender:F
Credentials:MA,CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 TUXETTE RD
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:NH
Mailing Address - Zip Code:03285-6148
Mailing Address - Country:US
Mailing Address - Phone:603-726-6351
Mailing Address - Fax:
Practice Address - Street 1:72 LINWOOD DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NH
Practice Address - Zip Code:03251-4441
Practice Address - Country:US
Practice Address - Phone:603-724-2214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL006294L235Z00000X
NH1541235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist