Provider Demographics
NPI:1356927677
Name:BARAN, CYNTHIA A (LPC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:A
Last Name:BARAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 PENNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08638-4716
Mailing Address - Country:US
Mailing Address - Phone:215-896-4113
Mailing Address - Fax:
Practice Address - Street 1:86 PENNWOOD DR
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08638-4716
Practice Address - Country:US
Practice Address - Phone:215-896-4113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010973101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional