Healthcare Provider Details

I. General information

NPI: 1699985788
Provider Name (Legal Business Name): CYNTHIA B. TODD, PH.D., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1340 N US HIGHWAY 1 SUITE 102
TEQUESTA FL
33469-3237
US

IV. Provider business mailing address

162 JONES CREEK DR
JUPITER FL
33458-7750
US

V. Phone/Fax

Practice location:
  • Phone: 561-743-8854
  • Fax: 561-741-8087
Mailing address:
  • Phone: 561-741-8087
  • Fax: 561-741-8087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH 5267
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberSS 666
License Number StateFL

VIII. Authorized Official

Name: DR. CYNTHIA B. TODD
Title or Position: OWNER
Credential: PH.D.
Phone: 561-743-8854