MEDICARE: CYNTHIA ANN STREIFER LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MT2557	FL

General Provider Information

NPI Number	:	1174954598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA ANN STREIFER LMFT

Provider Business Mailing Address
First Line	:	533 N NOVA RD
Second Line	:	SUITE 203
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-4447
Country	:	US
Telephone Number	:	386-265-3920
Fax Number	:

Provider Business Practice Location Address
First Line	:	533 N NOVA RD STE 203
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-4422
Country	:	US
Telephone Number	:	386-265-3920
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2013
Last Update Date	:	07/18/2015

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