Lease, Cynthia Ann

Lease, Cynthia Ann is an individual health care provider with primary practice located at 1970 Roanoke Blvd , Salem VA 24153-6404. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lease, Cynthia Ann can be contacted via phone (540) 982-2463.

Contact Information

Primary practice address
1970 Roanoke Blvd Salem VA 24153-6404
Phone: (540) 982-2463
Fax: (540) 224-1957
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810002492 Virginia

Profile Details

NPI number 1831150457
LBN Legal business name Lease, Cynthia Ann
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated May 19th, 2009 - about 17 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 1831150457 NPPES
Virginia MEDICAID 7708084
Virginia Other 39373
Virginia Other 087373
Virginia Other 280449
Virginia Other 250254
Virginia Other 253567

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