Provider Demographics
NPI:1124348925
Name:WOODS, CYNTHIA CAROLYN (MASTER OF EDUCATION)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:CAROLYN
Last Name:WOODS
Suffix:
Gender:F
Credentials:MASTER OF EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4713 NEWPORT DR
Mailing Address - Street 2:
Mailing Address - City:DEL CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73115-4335
Mailing Address - Country:US
Mailing Address - Phone:405-595-9579
Mailing Address - Fax:
Practice Address - Street 1:1205 LAUREN LN
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-7151
Practice Address - Country:US
Practice Address - Phone:405-737-3133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2011-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor