Crockett, Cynthia Jeanine

Crockett, Cynthia Jeanine is an sole proprietor health care provider with primary practice located at 43 Columbia St Suite 32, Bangor ME 04401-6346. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Crockett, Cynthia Jeanine can be contacted via phone (207) 942-1483.

Contact Information

Primary practice address
43 Columbia St Suite 32 Bangor ME 04401-6346
Phone: (207) 942-1483
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS732 Maine

Profile Details

NPI number 1396875068
LBN Legal business name Crockett, Cynthia Jeanine
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 19 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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