CYNTHIA MARY DERY LPC NPI 1588847347

NPI Information

NPI: 1588847347
Provider Name: CYNTHIA MARY DERY, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
7013 FAHLEY RD
OSHKOSH, WI
ZIP 54904
Phone: (920) 850-3421
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Cynthia Mary Dery, LPC is a professional counselor in Oshkosh, WI. Cynthia Mary Dery, LPC NPI is 1588847347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7013 FAHLEY RD
OSHKOSH, WI
ZIP 54904-545
Phone: (920) 850-3421

The enumeration date for this NPI number is 12/14/2007 and was last updated on 12/14/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	3994-125	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	43726500	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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