Provider Demographics
NPI:1386960953
Name:THRONEBURG, CINDY (BC-HIS, ACA)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:THRONEBURG
Suffix:
Gender:F
Credentials:BC-HIS, ACA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13517 US HIGHWAY 1 STE F
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-3759
Mailing Address - Country:US
Mailing Address - Phone:772-589-1749
Mailing Address - Fax:772-589-7005
Practice Address - Street 1:13517 US HIGHWAY 1 STE F
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-3759
Practice Address - Country:US
Practice Address - Phone:772-589-1749
Practice Address - Fax:772-589-7005
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS0002090237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist