Donner, Cynthia Jo

Donner, Cynthia Jo is an individual health care provider with primary practice located at 10045 W Lisbon Ave , Wauwatosa WI 53222-2446. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Donner, Cynthia Jo can be contacted via phone (414) 358-7999.

Contact Information

Primary practice address
10045 W Lisbon Ave Wauwatosa WI 53222-2446
Phone: (414) 358-7999
Fax: (414) 358-7158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15955130 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4896-125 Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X 4896-125 Wisconsin

Profile Details

NPI number 1396025417
LBN Legal business name Donner, Cynthia Jo
Credentials MS, LPC, SAC-IT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2011
Last updated Dec 6th, 2013 - 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 1396025417 NPPES
Wisconsin MEDICAID 1396025417

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