Provider Demographics
NPI:1699985788
Name:CYNTHIA B. TODD, PH.D., LLC
Entity type:Organization
Organization Name:CYNTHIA B. TODD, PH.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:TODD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:561-743-8854
Mailing Address - Street 1:162 JONES CREEK DR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7750
Mailing Address - Country:US
Mailing Address - Phone:561-741-8087
Mailing Address - Fax:561-741-8087
Practice Address - Street 1:1340 N US HIGHWAY 1
Practice Address - Street 2:SUITE 102
Practice Address - City:TEQUESTA
Practice Address - State:FL
Practice Address - Zip Code:33469-3237
Practice Address - Country:US
Practice Address - Phone:561-743-8854
Practice Address - Fax:561-741-8087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 5267101YM0800X
FLSS 666103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Not Answered103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty