Provider Demographics
NPI:1982807970
Name:SUNG, CYNTHIA JANELLE (DO)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:JANELLE
Last Name:SUNG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 BUCKHEAD TRL
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35216-3888
Mailing Address - Country:US
Mailing Address - Phone:205-591-6910
Mailing Address - Fax:
Practice Address - Street 1:3000 SOUTHLAKE PARK
Practice Address - Street 2:STE 100
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-3293
Practice Address - Country:US
Practice Address - Phone:205-987-0724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO.10692084P0800X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry