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NPI Code Detail

MEDICARE: CYNTHIA ANN ROBERTS

MEDICARE: CYNTHIA ANN ROBERTS
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
1106H00000XMarriage & Family TherapistIMF40472CA

General Provider Information

NPI Number : 1447361779
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA ANN ROBERTS
Provider Business Mailing Address
First Line : 6147 SUTTER AVE
Second Line :
City : CARMICHAEL
State : CA
Zip : 95608-2738
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6147 SUTTER AVE
Second Line :
City : CARMICHAEL
State : CA
Zip : 95608-2738
Country : US
Telephone Number : 916-971-7640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/08/2007

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Directions to “ CYNTHIA ANN ROBERTS ” Practice Location

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