Provider Demographics
NPI:1750935185
Name:FARRELL, CYNTHIA MILLER (MS)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:MILLER
Last Name:FARRELL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:MILLER
Other - Last Name:CROWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:453 MARKET ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-2155
Mailing Address - Country:US
Mailing Address - Phone:412-908-0200
Mailing Address - Fax:
Practice Address - Street 1:453 MARKET ST APT 1
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-2155
Practice Address - Country:US
Practice Address - Phone:412-908-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health