Provider Demographics
NPI:1720254527
Name:RICH, CINDI LEA (PSYD)
Entity type:Individual
Prefix:DR
First Name:CINDI
Middle Name:LEA
Last Name:RICH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:CYNTHIA
Other - Middle Name:LEA
Other - Last Name:RICH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:104 MIRASOL CT
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-7617
Mailing Address - Country:US
Mailing Address - Phone:916-838-8321
Mailing Address - Fax:
Practice Address - Street 1:104 MIRASOL CT
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-7617
Practice Address - Country:US
Practice Address - Phone:916-838-8321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27082103TC0700X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical