Provider Demographics
NPI:1972763100
Name:ADAMS, CYNTHIA HERBERT (PHD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:HERBERT
Last Name:ADAMS
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 1:282 WORMWOOD HILL RD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD CENTER
Mailing Address - State:CT
Mailing Address - Zip Code:06250-1025
Mailing Address - Country:US
Mailing Address - Phone:860-230-8951
Mailing Address - Fax:860-429-5994
Practice Address - Street 1:354 WARRENVILLE RD
Practice Address - Street 2:
Practice Address - City:MANSFIELD CENTER
Practice Address - State:CT
Practice Address - Zip Code:06250-1130
Practice Address - Country:US
Practice Address - Phone:860-230-8951
Practice Address - Fax:860-429-5994
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001102103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling