Provider Demographics
NPI:1780805259
Name:FERRIS, CINDY PENN (MED, LPC)
Entity type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:PENN
Last Name:FERRIS
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3416 MEADOW COVE DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-6043
Mailing Address - Country:US
Mailing Address - Phone:214-731-0343
Mailing Address - Fax:
Practice Address - Street 1:600 W PIONEER DR
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-7430
Practice Address - Country:US
Practice Address - Phone:972-721-6554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13680101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional