Provider Demographics
NPI:1932457520
Name:SIMO, CYNTHIA WANDJI
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:WANDJI
Last Name:SIMO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3709 BARRINGTON RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-7108
Mailing Address - Country:US
Mailing Address - Phone:240-470-9121
Mailing Address - Fax:240-470-9121
Practice Address - Street 1:3709 BARRINGTON RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-7108
Practice Address - Country:US
Practice Address - Phone:240-470-9121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator