Provider Demographics
NPI:1962448076
Name:STEVENS-MORRISON, CYNTHIA Y (MD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:Y
Last Name:STEVENS-MORRISON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:Y
Other - Last Name:STEVENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9560 PENNSYLVANIA AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3668
Mailing Address - Country:US
Mailing Address - Phone:301-324-0100
Mailing Address - Fax:301-324-6800
Practice Address - Street 1:9560 PENNSYLVANIA AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-3668
Practice Address - Country:US
Practice Address - Phone:301-324-0100
Practice Address - Fax:301-324-6800
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0050020208000000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD823901100Medicaid
MD823901100Medicaid
H48713Medicare UPIN