Provider Demographics
NPI:1245338581
Name:ECKERT-MCCOY, CYNTHIA (MSW)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:
Last Name:ECKERT-MCCOY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 E IRON AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-2697
Mailing Address - Country:US
Mailing Address - Phone:785-823-6333
Mailing Address - Fax:785-823-6381
Practice Address - Street 1:645 E IRON AVE
Practice Address - Street 2:SUITE B
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-2697
Practice Address - Country:US
Practice Address - Phone:785-823-6333
Practice Address - Fax:785-823-6381
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS09241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS070558OtherBCBS
KS046600Medicare ID - Type Unspecified