1619563038 NPI number — DR. CYNTHIA MARY LISCHICK PHD, LPC, DVS

Table of content: DR. CYNTHIA MARY LISCHICK PHD, LPC, DVS (NPI 1619563038)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619563038 NPI number — DR. CYNTHIA MARY LISCHICK PHD, LPC, DVS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LISCHICK
Provider First Name:
CYNTHIA
Provider Middle Name:
MARY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD, LPC, DVS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LISCHICK
Provider Other First Name:
CYNTHIA
Provider Other Middle Name:
M
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHD. LPC, DVS
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1619563038
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/19/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 504
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLARKSBURG
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08510-0504
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-303-1708
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14 PENN ELMER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILLSTONE TOWNSHIP
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08510-1731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-303-1708
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/19/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  37PC00383700 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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