Provider Demographics
NPI:1821812850
Name:ALAM, CYNTHIA RENEE RICE
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:RENEE RICE
Last Name:ALAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:RICE
Other - Last Name:ALAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2433 WOOD STREAM CT
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-1060
Mailing Address - Country:US
Mailing Address - Phone:410-336-0840
Mailing Address - Fax:
Practice Address - Street 1:2801 N DUKELAND ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21216-2808
Practice Address - Country:US
Practice Address - Phone:410-336-0840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool