Cynthia V Wickless, PHD
Psychologist, Clinical in Mansfield Center, Connecticut
1841390861- Practice location
- 196 Conantville RD, Mansfield Center, CT 06250-0114
- Phone
- 860-456-2793
- Fax
- —
- Last updated
- July 8, 2007
Cynthia Virts Wickless is a Psychologist, Clinical based in Mansfield Center, CT. Cynthia Virts Wickless practices in Mansfield Center, CT and has the professional credentials of PHD. The NPI Number for Cynthia Virts Wickless is 1841390861 and holds a License No. 001515 (CT). The current practice location address for Cynthia Virts Wickless is 196 Conantville RD, Mansfield Center, CT 06250-0114 and can be reached out via phone at 860-456-2793.
Provider Profile Details
- NPI Number
- 1841390861
- Provider Name
- Cynthia Virts Wickless
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 196 Conantville RD, Mansfield Center, CT 06250-0114
- Phone Number
- 860-456-2793
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 22, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 196 Conantville RD
Mansfield Center, CT 06250-0114 - City
- Mansfield Center
- State
- Connecticut
- Zip
- 06250-0114
- Phone Number
- 860-456-2793
Provider Business Mailing Address Details
- Address
- Po Box 114
196 Conantville RD
Mansfield Center, CT 06250-0114 - City
- Mansfield Center
- State
- CT
- Zip
- 06250-0114
- Phone Number
- 860-456-2793
License Information
- License Number
- 001515
- License State
- CT
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Cynthia V Wickless, PHD?
The NPI number of Cynthia V Wickless, PHD is 1841390861. It was assigned on September 22, 2006 and is currently active in the NPPES registry.
What is the specialty of Cynthia V Wickless, PHD?
Cynthia V Wickless, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 001515.
Where does Cynthia V Wickless, PHD practice?
The practice location is 196 Conantville RD, Mansfield Center, CT 06250-0114. The office can be reached at 860-456-2793 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1841390861 directly on the NPPES registry website.