Provider Demographics
NPI:1134629371
Name:SPICER, CYNTHIA A (LPC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:A
Last Name:SPICER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:A
Other - Last Name:SPICER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:8003 QUAIL HOLLOW CT
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-2828
Mailing Address - Country:US
Mailing Address - Phone:513-470-6927
Mailing Address - Fax:
Practice Address - Street 1:30 OVERBROOK DR STE C
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:OH
Practice Address - Zip Code:45050-1168
Practice Address - Country:US
Practice Address - Phone:513-539-5250
Practice Address - Fax:513-539-5250
Is Sole Proprietor?:No
Enumeration Date:2018-02-14
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1500326101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2919604Medicaid