Provider Demographics
NPI:1932229077
Name:PAYTON, CYNTHIA A (MC,MFC,CPL)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:A
Last Name:PAYTON
Suffix:
Gender:F
Credentials:MC,MFC,CPL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:F22 CALLE ARAGON
Mailing Address - Street 2:VILLA CONTESA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-2778
Mailing Address - Country:US
Mailing Address - Phone:787-662-8580
Mailing Address - Fax:
Practice Address - Street 1:F22 CALLE ARAGON
Practice Address - Street 2:VILLA CONTESA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-2778
Practice Address - Country:US
Practice Address - Phone:787-662-8580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1286101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional