Provider Demographics
NPI:1386728673
Name:GYORI, CYNTHIA FAYE (LCSW)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:FAYE
Last Name:GYORI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:FAYE
Other - Last Name:MCCUTCHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:532 PACHECO ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-1345
Mailing Address - Country:US
Mailing Address - Phone:415-673-5700
Mailing Address - Fax:415-292-7140
Practice Address - Street 1:134 GOLDEN GATE AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3810
Practice Address - Country:US
Practice Address - Phone:415-673-5700
Practice Address - Fax:415-292-7140
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS143491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALCS14349OtherLCSW