MEDICARE: MS. CYNTHIA M. STAMPER MSS, LCSW

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
1	1041C0700X	Clinical Social Worker	CW016860	PA

General Provider Information

NPI Number	:	1881804912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA M. STAMPER MSS, LCSW

Provider Business Mailing Address
First Line	:	6901 OLD YORK RD
Second Line	:	APT. D302
City	:	PHILADELPHIA
State	:	PA
Zip	:	19126-2234
Country	:	US
Telephone Number	:	215-224-3962
Fax Number	:

Provider Business Practice Location Address
First Line	:	6901 OLD YORK RD
Second Line	:	APT. D302
City	:	PHILADELPHIA
State	:	PA
Zip	:	19126-2234
Country	:	US
Telephone Number	:	267-752-3174
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	03/18/2011

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