Healthcare Provider Details

I. General information

NPI: 1578021226
Provider Name (Legal Business Name): CYNTHIA TEADERMAN LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2019
Last Update Date: 11/04/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

FAMILYLINKS, INC 250 SHADY AVENUE
PITTSBURGH PA
15206
US

IV. Provider business mailing address

FAMILYLINKS, INC 250 SHADY AVENUE
PITTSBURGH PA
15206
US

V. Phone/Fax

Practice location:
  • Phone: 866-583-6003
  • Fax: 412-924-0259
Mailing address:
  • Phone: 866-583-6003
  • Fax: 412-924-0259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSW141535
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: