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NPI Code Detail

MEDICARE: DR. CYNTHIA JEAN DILLARD PH.D.

MEDICARE: DR. CYNTHIA JEAN DILLARD PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist5859OH
2103TC0700XClinical PsychologistPS016943PA

General Provider Information

NPI Number : 1366570616
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CYNTHIA JEAN DILLARD PH.D.
Provider Business Mailing Address
First Line : 225 S CHURCH ST
Second Line :
City : WEST CHESTER
State : PA
Zip : 19382-3386
Country : US
Telephone Number : 484-401-4829
Fax Number :
Provider Business Practice Location Address
First Line : 225 S CHURCH ST
Second Line :
City : WEST CHESTER
State : PA
Zip : 19382-3386
Country : US
Telephone Number : 484-401-4829
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 01/20/2011

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