CYNTHIA Y PETERSEN LPCC NPI 1710105895

NPI Information

NPI: 1710105895
Provider Name: CYNTHIA Y PETERSEN, LPCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
PMG CEDAR PEDIATRIC ENDOCRINOLOGY
201 CEDAR SE SUITE 4640
ALBUQUERQUE, NM
ZIP 87106
Phone: (505) 563-6530
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Cynthia Y Petersen, LPCC is a professional counselor in Albuquerque, NM. Cynthia Y Petersen, LPCC NPI is 1710105895. 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:

PMG CEDAR PEDIATRIC ENDOCRINOLOGY
201 CEDAR SE SUITE 4640
ALBUQUERQUE, NM
ZIP 87106
Phone: (505) 563-6530
Fax: (505) 563-6325

The enumeration date for this NPI number is 4/23/2007 and was last updated on 8/12/2014.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	3737	NEW MEXICO	No
2	101YP2500X	Counselor	Professional		NEW MEXICO	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	N/A	MEDICARE PIN
2	97037265	MEDICAID	NEW MEXICO

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: 4/28/2024

NPI Synchronization or Removal

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