Provider Demographics
NPI:1932122538
Name:MENDELSON, CYNTHIA NEIGLER (PHD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:NEIGLER
Last Name:MENDELSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10751 FALLS RD
Mailing Address - Street 2:SUITE #439
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4517
Mailing Address - Country:US
Mailing Address - Phone:410-296-2920
Mailing Address - Fax:410-296-5018
Practice Address - Street 1:10751 FALLS RD
Practice Address - Street 2:SUITE #439
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-4517
Practice Address - Country:US
Practice Address - Phone:410-296-2920
Practice Address - Fax:410-296-5018
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2478103T00000X
102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD424068-01OtherBLUECROSSBLUESHIELD OF MD
MD424068-01OtherBLUECROSSBLUESHIELD OF MD