Provider Demographics
NPI:1366874067
Name:GEIL, CYNTHIA ANN (PSYD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ANN
Last Name:GEIL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:CINDY
Other - Middle Name:ANN
Other - Last Name:GEIL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:3349 LAHNA CT
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-3878
Mailing Address - Country:US
Mailing Address - Phone:815-219-6395
Mailing Address - Fax:
Practice Address - Street 1:169 MAIN ST FL 1
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457
Practice Address - Country:US
Practice Address - Phone:860-788-6404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPSYLIP00223687103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical