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NPI Code Detail

MEDICARE: CYNTHIA A DAVIS LMHC,NCC,CCCJS

MEDICARE:   CYNTHIA A DAVIS  LMHC,NCC,CCCJS
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
1101YM0800XMental Health CounselorLMHC 00092IA
2103TC0700XClinical Psychologist00093IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
229-77-024OTHERIADEPT. OF HUMAN SERVICES

General Provider Information

NPI Number : 1750398913
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA A DAVIS LMHC,NCC,CCCJS
Provider Business Mailing Address
First Line : 100 E EUCLID AVE
Second Line : SUITE 143
City : DES MOINES
State : IA
Zip : 50313-4511
Country : US
Telephone Number : 515-284-5211
Fax Number : 515-284-5211
Provider Business Practice Location Address
First Line : 100 E EUCLID AVE
Second Line : SUITE 143
City : DES MOINES
State : IA
Zip : 50313-4511
Country : US
Telephone Number : 515-284-5211
Fax Number : 515-284-5211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 02/14/2008

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