Provider Demographics
NPI:1992220008
Name:POU, CINDY L (MS)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:L
Last Name:POU
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:CINDY
Other - Middle Name:L
Other - Last Name:POU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5641 SMU BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5026
Mailing Address - Country:US
Mailing Address - Phone:214-696-5005
Mailing Address - Fax:
Practice Address - Street 1:5641 SMU BLVD STE 101
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-5026
Practice Address - Country:US
Practice Address - Phone:214-696-5005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13004235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist