Provider Demographics
NPI:1184733081
Name:GAA, CYNTHIA J (MED, LPC)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:J
Last Name:GAA
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 MEDICAL PLAZA DRIVE
Mailing Address - Street 2:SUITE 190
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3210
Mailing Address - Country:US
Mailing Address - Phone:281-367-0733
Mailing Address - Fax:281-298-1915
Practice Address - Street 1:1001 MEDICAL PLAZA DRIVE
Practice Address - Street 2:SUITE 190
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3210
Practice Address - Country:US
Practice Address - Phone:281-367-0733
Practice Address - Fax:281-298-1915
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX02680101YP2500X
TX002700-042390106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist