Provider Demographics
NPI:1396242848
Name:GRUNSTEN, CYNTHIA MICHELLE (PSYD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:MICHELLE
Last Name:GRUNSTEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6815 E CAMELBACK RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-2402
Mailing Address - Country:US
Mailing Address - Phone:480-427-0303
Mailing Address - Fax:
Practice Address - Street 1:6815 E CAMELBACK RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-2402
Practice Address - Country:US
Practice Address - Phone:480-427-0303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-11
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRBT-16-19520103K00000X
AZPSY-005376103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst