Siadat, Cynthia Marie Antonio

Siadat, Cynthia Marie Antonio is an individual health care provider with primary practice located at 4760 Sepulveda Blvd , Culver City CA 90230-4820. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Siadat, Cynthia Marie Antonio can be contacted via phone (310) 390-6612.

Contact Information

Primary practice address
4760 Sepulveda Blvd Culver City CA 90230-4820
Phone: (310) 390-6612
Fax: (310) 398-5690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X ASW70758 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 76525 California

Profile Details

NPI number 1033371877
LBN Legal business name Siadat, Cynthia Marie Antonio
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2008
Last updated Jun 19th, 2017 - about 9 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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