Whitaker, Cynthia K

Whitaker, Cynthia K is an individual health care provider with primary practice located at 200 Patewood Dr Suite A10, Greenville SC 29615-3593. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Whitaker, Cynthia K can be contacted via phone (864) 455-6444.

Contact Information

Primary practice address
200 Patewood Dr Suite A10 Greenville SC 29615-3593
Fax: (864) 455-3095
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6016 South Carolina

Profile Details

NPI number 1447291265
LBN Legal business name Whitaker, Cynthia K
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Sep 5th, 2013 - about 11 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 1447291265 NPPES
South Carolina MEDICAID QM0472

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