Shipman, Cynthia Jane
Shipman, Cynthia Jane is an sole proprietor health care provider with primary practice located at 5575 Lake Park Way 114, La Mesa CA 91942-1664. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Shipman, Cynthia Jane can be contacted via phone (619) 463-1155.Contact Information
Primary practice address
5575 Lake Park Way 114
La Mesa CA 91942-1664
Phone: (619) 463-1155
Fax: (619) 463-8986
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY5863 | California |
Profile Details
| NPI number | 1225118144 |
|---|---|
| LBN Legal business name | Shipman, Cynthia Jane |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Aug 19th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225118144 | NPPES |
| California | MEDICAID | PSY058630 |
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