Provider Demographics
NPI:1649305491
Name:CHAPMAN, CYNTHIA RODRIGUEZ (PSYD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:RODRIGUEZ
Last Name:CHAPMAN
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 1:2192 CASTILLA WAY
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-3232
Mailing Address - Country:US
Mailing Address - Phone:858-336-7189
Mailing Address - Fax:760-730-3933
Practice Address - Street 1:2945 HARDING ST
Practice Address - Street 2:SUITE 110
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1818
Practice Address - Country:US
Practice Address - Phone:858-336-7189
Practice Address - Fax:760-730-3933
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY18762103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical