Provider Demographics
NPI:1811462997
Name:HANDFORD, CYNTHIA LYNN (MSC, LCGC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:LYNN
Last Name:HANDFORD
Suffix:
Gender:F
Credentials:MSC, LCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 EASTLAKE AVENUE EAST
Mailing Address - Street 2:MAIL STOP K2-231
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-4405
Mailing Address - Country:US
Mailing Address - Phone:206-606-1629
Mailing Address - Fax:206-606-6412
Practice Address - Street 1:825 EASTLAKE AVENUE EAST
Practice Address - Street 2:MAIL STOP K2-231
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-4405
Practice Address - Country:US
Practice Address - Phone:206-606-1629
Practice Address - Fax:206-606-6412
Is Sole Proprietor?:No
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAGT60756933170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS