Provider Demographics
NPI:1801173943
Name:DENNEMANN, CYNDI (LPCA)
Entity type:Individual
Prefix:MRS
First Name:CYNDI
Middle Name:
Last Name:DENNEMANN
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 CAVALIER BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-3950
Mailing Address - Country:US
Mailing Address - Phone:859-866-5865
Mailing Address - Fax:859-283-2897
Practice Address - Street 1:75 CAVALIER BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-3950
Practice Address - Country:US
Practice Address - Phone:859-866-5865
Practice Address - Fax:859-283-2897
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1273101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional