Provider Demographics
NPI:1265972194
Name:CUYLE, JENNIFER
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:CUYLE
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 1:575 S VIRGINIA HILLS DR
Mailing Address - Street 2:UNIT 1702
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-8961
Mailing Address - Country:US
Mailing Address - Phone:469-815-5115
Mailing Address - Fax:
Practice Address - Street 1:575 S VIRGINIA HILLS DR
Practice Address - Street 2:UNIT 1702
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-8961
Practice Address - Country:US
Practice Address - Phone:469-815-5115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-25
Last Update Date:2017-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70219101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional