Devlin, Cynthia Bergstrom
Devlin, Cynthia Bergstrom is an sole proprietor health care provider with primary practice located at 1229 S Saint Francis Dr Ste B , Santa Fe NM 87505-4052. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Devlin, Cynthia Bergstrom can be contacted via phone (505) 303-3586.Contact Information
Primary practice address
1229 S Saint Francis Dr Ste B
Santa Fe NM 87505-4052
Phone: (505) 303-3586
Fax: (505) 303-3586
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0189951 | New Mexico |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 0189901 | New Mexico |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0189951 | New Mexico |
Profile Details
| NPI number | 1245249747 |
|---|---|
| LBN Legal business name | Devlin, Cynthia Bergstrom |
| Credentials | L.P.C.C., L.M.F.T. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245249747 | NPPES |
| Virginia | Other | 223065 | ANTHEM BC/BS |
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