Provider Demographics
NPI:1780270579
Name:EIGEN, CYNTHIA P (PHD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:P
Last Name:EIGEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:POSTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:5 RUSTIC LN
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-6340
Mailing Address - Country:US
Mailing Address - Phone:203-246-1995
Mailing Address - Fax:
Practice Address - Street 1:85 MILL PLAIN RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-5001
Practice Address - Country:US
Practice Address - Phone:203-246-1995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002641103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical