Provider Demographics
NPI:1184788275
Name:BRATMAN, CYNTHIA MARY (PSYD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:MARY
Last Name:BRATMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 ROLLINGMEAD ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-4068
Mailing Address - Country:US
Mailing Address - Phone:609-921-0566
Mailing Address - Fax:609-921-1998
Practice Address - Street 1:40 WITHERSPOON ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08542-3208
Practice Address - Country:US
Practice Address - Phone:609-915-5915
Practice Address - Fax:609-921-1998
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ4100103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ077683Medicare ID - Type Unspecified