Healthcare Provider Details
I. General information
NPI: 1427053883
Provider Name (Legal Business Name): CYNTHIA TURNBULL PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 06/14/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
835 SW WESTERN AVE
TOPEKA KS
66606-1446
US
IV. Provider business mailing address
835 SW WESTERN AVE
TOPEKA KS
66606-1446
US
V. Phone/Fax
- Phone: 785-233-9400
- Fax: 785-233-9090
- Phone: 785-233-9400
- Fax: 785-233-9090
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | 958 |
| License Number State | KS |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: