Sorenson, Cynthia D

Sorenson, Cynthia D is an individual health care provider with primary practice located at 1701 Sharp Rd , Waterford WI 53185-5214. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Sorenson, Cynthia D can be contacted via phone (262) 534-7297.

Contact Information

Primary practice address
1701 Sharp Rd Waterford WI 53185-5214
Fax: (262) 534-7257
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 2449057 Wisconsin

Profile Details

NPI number 1518004753
LBN Legal business name Sorenson, Cynthia D
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 9th, 2007 - about 18 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 1518004753 NPPES
Wisconsin MEDICAID 39151400

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