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NPI Code Detail

MEDICARE: MS. CYNTHIA ANNE HALE M.S., M.F.T.I.

MEDICARE: MS. CYNTHIA ANNE HALE M.S., M.F.T.I.
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 Therapist43028CA

General Provider Information

NPI Number : 1710993175
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CYNTHIA ANNE HALE M.S., M.F.T.I.
Provider Business Mailing Address
First Line : 2750 SUTTERVILLE RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95820-1024
Country : US
Telephone Number : 916-452-3981
Fax Number : 916-454-5031
Provider Business Practice Location Address
First Line : 2750 SUTTERVILLE RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95820-1024
Country : US
Telephone Number : 916-452-3981
Fax Number : 916-454-5031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 12/31/2007

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