Healthcare Provider Details

I. General information

NPI: 1578631370
Provider Name (Legal Business Name): CYNTHIA ANNE WESTRICH MA ATR BC LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CYNDIE ANNE WESTRICH MA ATR BC

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 11/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 2ND AVE
MALVERN PA
19355-2756
US

IV. Provider business mailing address

210 2ND AVE
MALVERN PA
19355-2756
US

V. Phone/Fax

Practice location:
  • Phone: 610-329-1684
  • Fax:
Mailing address:
  • Phone: 610-329-1684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC004783
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number96044
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: