Healthcare Provider Details

I. General information

NPI: 1538529003
Provider Name (Legal Business Name): CINDY SYKES LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2016
Last Update Date: 02/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8402 LOWELL AVE
OVERLAND PARK KS
66212
US

IV. Provider business mailing address

8402 LOWELL AVE
OVERLAND PARK KS
66212-2734
US

V. Phone/Fax

Practice location:
  • Phone: 913-713-9042
  • Fax:
Mailing address:
  • Phone: 913-713-9042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number8758
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: