Provider Demographics
NPI:1811464860
Name:GAUDINO, CYNTHIA ELIZABETH (CERTIFIED DOULA)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:ELIZABETH
Last Name:GAUDINO
Suffix:
Gender:F
Credentials:CERTIFIED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 LEYDEN ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02128-2634
Mailing Address - Country:US
Mailing Address - Phone:781-540-1254
Mailing Address - Fax:
Practice Address - Street 1:108 LEYDEN ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02128-2634
Practice Address - Country:US
Practice Address - Phone:781-540-1254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA476374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA476OtherNPI NUMBERS FOR BIRTHING MOTHERS ALONG WITH PAYMENT FROM MEDICAID.