Provider Demographics
NPI:1932184413
Name:ARSENAULT, CYNTHIA G (M ED)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:G
Last Name:ARSENAULT
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:G
Other - Last Name:STUART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:M ED
Mailing Address - Street 1:10 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-2410
Mailing Address - Country:US
Mailing Address - Phone:978-828-8232
Mailing Address - Fax:978-372-7563
Practice Address - Street 1:10 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-2410
Practice Address - Country:US
Practice Address - Phone:978-828-8232
Practice Address - Fax:978-372-7563
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4428101YM0800X
MA137103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
36655OtherCIGNA
MA59310OtherTUFTS ASSOC HEALTH PLAN
85211OtherMANAGED HEALTH NETWORK
NH9549A1OtherANTHEM BCBS
91538OtherAETNA
MA10671OtherBCBS
113309OtherVALUE OPTIONS
NH1549AOtherBEHAVIORAL HEALTH NETWORK
1239OtherEMPIRE BCBS
13700001OtherPACIFICARE BEHAVIORAL HEA
307470OtherMHN GROUP
627000OtherMAGELLAN
NH30010326Medicaid
MA613851OtherTRUFTS GROUP
MALMG015OtherBCBS GROUP