Healthcare Provider Details

I. General information

NPI: 1467473546
Provider Name (Legal Business Name): CYNTHIA PIEDIMONTE PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 07/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 E LINWOOD BLVD MH 116 A
KANSAS CITY MO
64128-2295
US

IV. Provider business mailing address

4801 E LINWOOD BLVD MH 116 A
KANSAS CITY MO
64128-2295
US

V. Phone/Fax

Practice location:
  • Phone: 816-861-4700
  • Fax:
Mailing address:
  • Phone: 816-861-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number01601
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: