Provider Demographics
NPI:1750436887
Name:CONCA, CINDY (EDD)
Entity type:Individual
Prefix:DR
First Name:CINDY
Middle Name:
Last Name:CONCA
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:HURWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1516 ALDERSHOT LN
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2923
Mailing Address - Country:US
Mailing Address - Phone:631-398-4164
Mailing Address - Fax:
Practice Address - Street 1:1516 ALDERSHOT LN
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2923
Practice Address - Country:US
Practice Address - Phone:631-398-4164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2015-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005523235Z00000X
VA2202007227235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist