Klubnik, Cynthia Adele

Klubnik, Cynthia Adele is an individual health care provider with primary practice located at 111 N 20Th St , Philomath OR 97370-9535. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / School is her primary health care specialty. Klubnik, Cynthia Adele can be contacted via phone (541) 368-4313.

Contact Information

Primary practice address
111 N 20Th St Philomath OR 97370-9535
Phone: (541) 368-4313
Fax: (541) 929-4967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 2203 Oregon
Behavioral Health & Social Service Providers / School 103TS0200X 2203 Oregon
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-11-8303 Tennessee
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2203 Oregon

Profile Details

NPI number 1215239520
LBN Legal business name Klubnik, Cynthia Adele
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2010
Last updated Dec 10th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215239520 NPPES
Other 103I682739 MEDICARE

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