MEDICARE: MS. CYNTHIA PROCTOR

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	101YM0800X	Mental Health Counselor	6255159-6009	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952324865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA PROCTOR

Provider Business Mailing Address
First Line	:	PO BOX 1287
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84110-1287
Country	:	US
Telephone Number	:	801-524-8635
Fax Number	:

Provider Business Practice Location Address
First Line	:	423 W 800 S
Second Line	:	SUITE 200
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84101-2213
Country	:	US
Telephone Number	:	801-524-8635
Fax Number	:

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	07/03/2014

Similar Medicare Providers

1285920082 — TURN COMMUNITY SERVICES
Practice Location Address:

423 W 800 S , A200
SALT LAKE CITY, UT
84101-2213

Practice Phone: 801-359-8876
Practice Fax:

1114916558 — RAYMOND SAMUEL BIANCHI M.D.
Practice Location Address:

290 N RAND RD , SUITE A
LAKE ZURICH, IL
60047-2213

Practice Phone: 847-438-4028
Practice Fax:

1932199148 — CANYON LAKE FIRE/EMS
Practice Location Address:

1425 SATTLER RD
CANYON LAKE, TX
78132-2213

Practice Phone: 830-907-2922
Practice Fax: 830-907-2408

1699877282 — DR. RHONDA FRANGER PSY.D., ABPP
Practice Location Address:

290 N RAND RD , SUITE D
LAKE ZURICH, IL
60047-2213

Practice Phone: 888-261-2178
Practice Fax:

1770634560 — BARRY W BERGER D.O.
Practice Location Address:

290 N RAND RD , SUITE A
LAKE ZURICH, IL
60047-2213

Practice Phone: 847-438-2454
Practice Fax: 847-438-2462

1356470751 — TRACEY LYNN SMITH PT
Practice Location Address:

167 SMITH RD
LAKE RONKONKOMA, NY
11779-2213

Practice Phone: 631-348-1389
Practice Fax:

Directions to “ MS. CYNTHIA PROCTOR ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.