Johnson, Cynthia Lynne

Johnson, Cynthia Lynne is an sole proprietor health care provider with primary practice located at 333 Smith Ave N, Mail Route 60222 , St. Paul MN 55102. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Johnson, Cynthia Lynne can be contacted via phone (651) 241-8565.

Contact Information

Primary practice address
333 Smith Ave N, Mail Route 60222 St. Paul MN 55102
Phone: (651) 241-8565
Fax: (651) 241-7168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3230 Minnesota

Profile Details

NPI number 1639168446
LBN Legal business name Johnson, Cynthia Lynne
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2005
Last updated Mar 11th, 2021 - about 5 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 1639168446 NPPES
Minnesota MEDICAID 2147165

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