Provider Demographics
NPI:1952142507
Name:DORSEY, CYNTHIA CHAPMAN (LCSW/LCADC/RN/PSYD)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:CHAPMAN
Last Name:DORSEY
Suffix:
Gender:F
Credentials:LCSW/LCADC/RN/PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75-95 CLINTON AVE APT 4J NEWARK NJ 07114
Mailing Address - Street 2:
Mailing Address - City:NEWARK NJ
Mailing Address - State:NJ
Mailing Address - Zip Code:07114
Mailing Address - Country:US
Mailing Address - Phone:908-444-5829
Mailing Address - Fax:
Practice Address - Street 1:CYNTHIA CHAPMAN/COWTOWN FLEA MARKET
Practice Address - Street 2:780 RT 40
Practice Address - City:PILESGROWV, NJ 08098
Practice Address - State:NJ
Practice Address - Zip Code:08098
Practice Address - Country:US
Practice Address - Phone:973-242-6599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJCATEMP019592103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist