Provider Demographics
NPI:1922318252
Name:INGERSON, CYNTHIA E
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:E
Last Name:INGERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 GRANITE ST
Mailing Address - Street 2:OFFICE OF SPECIAL SERVICES
Mailing Address - City:MILLINOCKET
Mailing Address - State:ME
Mailing Address - Zip Code:04462-1300
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:191 GRANITE ST
Practice Address - Street 2:OFFICE OF SPECIAL SERVICES
Practice Address - City:MILLINOCKET
Practice Address - State:ME
Practice Address - Zip Code:04462-1300
Practice Address - Country:US
Practice Address - Phone:207-723-6404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist