Provider Demographics
NPI:1831386580
Name:EISENBERG, CINDY DAYTON (MS CCC/SLP)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:DAYTON
Last Name:EISENBERG
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17001 CARLTON WAY RD
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-8087
Mailing Address - Country:US
Mailing Address - Phone:215-880-6021
Mailing Address - Fax:
Practice Address - Street 1:17001 CARLTON WAY RD
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-8087
Practice Address - Country:US
Practice Address - Phone:215-880-6021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-26
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 9034235Z00000X
NC30001828235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist