Healthcare Provider Details

I. General information

NPI: 1972965663
Provider Name (Legal Business Name): CYNTHIA JEAN FRANKLIN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2016
Last Update Date: 03/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3207 N ACADEMY BLVD SUITE 3300
COLORADO SPRINGS CO
80917-5100
US

IV. Provider business mailing address

3207 N ACADEMY BLVD SUITE 3300
COLORADO SPRINGS CO
80917-5100
US

V. Phone/Fax

Practice location:
  • Phone: 719-344-6378
  • Fax:
Mailing address:
  • Phone: 719-344-6378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number746
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: