Provider Demographics
NPI:1215714563
Name:DEAN, CYNTHIA (MS, LAC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:DEAN
Suffix:
Gender:F
Credentials:MS, LAC
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:DEAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, LAC
Mailing Address - Street 1:8065 N 85TH WAY
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4321
Mailing Address - Country:US
Mailing Address - Phone:480-451-8500
Mailing Address - Fax:
Practice Address - Street 1:8065 N 85TH WAY
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4321
Practice Address - Country:US
Practice Address - Phone:480-451-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-21264101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health