Provider Demographics
NPI:1184907453
Name:HYPOLITE, CYNTHIA DIANE
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:DIANE
Last Name:HYPOLITE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7130 ARAGON DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-2903
Mailing Address - Country:US
Mailing Address - Phone:281-277-6393
Mailing Address - Fax:281-564-1386
Practice Address - Street 1:7130 ARAGON DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-2903
Practice Address - Country:US
Practice Address - Phone:281-277-6393
Practice Address - Fax:281-564-1386
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-23
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No253J00000XAgenciesFoster Care Agency