Provider Demographics
NPI:1285469254
Name:ZEHNDER, CYNTHIA ROSE (LCSW)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ROSE
Last Name:ZEHNDER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:CINDY
Other - Middle Name:ROSE
Other - Last Name:ZEHNDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:11110 SURREY PARK TRL
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-1780
Mailing Address - Country:US
Mailing Address - Phone:678-799-1488
Mailing Address - Fax:
Practice Address - Street 1:11110 SURREY PARK TRL
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-1780
Practice Address - Country:US
Practice Address - Phone:678-799-1488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-07
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0037821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical