Provider Demographics
NPI:1588711147
Name:CLAPPER, CYNTHIA RAE (PHD, LPCP)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:RAE
Last Name:CLAPPER
Suffix:
Gender:F
Credentials:PHD, LPCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3440 DAVIS LN
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-6450
Mailing Address - Country:US
Mailing Address - Phone:208-870-4555
Mailing Address - Fax:
Practice Address - Street 1:3440 WEST DAVIS LANE
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-6450
Practice Address - Country:US
Practice Address - Phone:208-870-4555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC-384101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health