Provider Demographics
NPI:1720159957
Name:TOPF, CYNTHIA S (PHD)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:S
Last Name:TOPF
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2935 S 120TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-4310
Mailing Address - Country:US
Mailing Address - Phone:402-758-2744
Mailing Address - Fax:402-758-2720
Practice Address - Street 1:2935 S 120TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-4310
Practice Address - Country:US
Practice Address - Phone:402-758-2744
Practice Address - Fax:402-758-2720
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE259103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE08286OtherBLU CROSS BLUE SHIELD
NE47075239102Medicaid
470752391OtherTAX ID
NE47075239102Medicaid