1811903453 NPI number — DR. CYNTHIA E FINCHER PH.D.

Table of content: DR. CYNTHIA E FINCHER PH.D. (NPI 1811903453)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811903453 NPI number — DR. CYNTHIA E FINCHER PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FINCHER
Provider First Name:
CYNTHIA
Provider Middle Name:
E
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811903453
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1307B W ABRAM ST
Provider Second Line Business Mailing Address:
SUITE 212
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76013-1700
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
817-528-4772
Provider Business Mailing Address Fax Number:
817-275-0317

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1307B W ABRAM ST
Provider Second Line Business Practice Location Address:
SUITE 212
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76013-1700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-528-4772
Provider Business Practice Location Address Fax Number:
817-275-0317
Provider Enumeration Date:
08/01/2006

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: 103T00000X , with the licence number:  3-1404 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1439440-01 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 05GR . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".




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