Provider Demographics
NPI:1457966251
Name:FRIMPONG, CYNTHIA S (NP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:S
Last Name:FRIMPONG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 MARTINDALE RD
Mailing Address - Street 2:
Mailing Address - City:SHELBURNE
Mailing Address - State:VT
Mailing Address - Zip Code:05482-6712
Mailing Address - Country:US
Mailing Address - Phone:802-829-8549
Mailing Address - Fax:
Practice Address - Street 1:145 PINE HAVEN SHORES RD STE 2288
Practice Address - Street 2:
Practice Address - City:SHELBURNE
Practice Address - State:VT
Practice Address - Zip Code:05482-7815
Practice Address - Country:US
Practice Address - Phone:802-489-5569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101.01346092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry