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NPI Code Detail

MEDICARE: CYNTHIA D SORENSON PHD

MEDICARE: CYNTHIA D SORENSON PHD
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
1103TB0200XCognitive & Behavioral Psychologist2449057WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518004753
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA D SORENSON PHD
Provider Business Mailing Address
First Line : 1701 SHARP RD
Second Line :
City : WATERFORD
State : WI
Zip : 53185-5214
Country : US
Telephone Number : 262-534-7297
Fax Number : 262-534-7257
Provider Business Practice Location Address
First Line : 1701 SHARP RD
Second Line :
City : WATERFORD
State : WI
Zip : 53185-5214
Country : US
Telephone Number : 262-534-7297
Fax Number : 262-534-7257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 07/09/2007

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