Provider Demographics
NPI:1023594207
Name:WILLIAMS, CYNTHIA CAROLINE (MA)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:CAROLINE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 SWORD ST STE 101
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-2162
Mailing Address - Country:US
Mailing Address - Phone:508-640-5733
Mailing Address - Fax:
Practice Address - Street 1:48 SWORD ST STE 101
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-2162
Practice Address - Country:US
Practice Address - Phone:508-640-5733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-11
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health