MEDICARE: DR. CYNTHIA R WARDEN PH.D.

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	103TC1900X	Counseling Psychologist	PS015398	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11807780	OTHER		CAQH

General Provider Information

NPI Number	:	1689768574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNTHIA R WARDEN PH.D.

Provider Business Mailing Address
First Line	:	2345 MURRAY AVE STE 305
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-2352
Country	:	US
Telephone Number	:	412-247-5477
Fax Number	:

Provider Business Practice Location Address
First Line	:	2345 MURRAY AVE STE 305
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-2352
Country	:	US
Telephone Number	:	412-551-8747
Fax Number	:

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	04/30/2024

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