Healthcare Provider Details

I. General information

NPI: 1932229077
Provider Name (Legal Business Name): CYNTHIA A. PAYTON M.C.,M.F.C.,C.P.L.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

F22 CALLE ARAGON VILLA CONTESA
BAYAMON PR
00956-2778
US

IV. Provider business mailing address

F22 CALLE ARAGON VILLA CONTESA
BAYAMON PR
00956-2778
US

V. Phone/Fax

Practice location:
  • Phone: 787-662-8580
  • Fax:
Mailing address:
  • Phone: 787-662-8580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1286
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: