Provider Demographics
NPI:1043426984
Name:FERRARI, CYNTHIA ANN (MS, MFT)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:ANN
Last Name:FERRARI
Suffix:
Gender:F
Credentials:MS, MFT
Other - Prefix:MS
Other - First Name:CYNTHIA
Other - Middle Name:ANN
Other - Last Name:FERRARI-FOLKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, MFT
Mailing Address - Street 1:20632 REDWOOD RD
Mailing Address - Street 2:SUITE 'D'
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-5602
Mailing Address - Country:US
Mailing Address - Phone:510-581-1274
Mailing Address - Fax:510-581-1279
Practice Address - Street 1:20632 REDWOOD RD
Practice Address - Street 2:SUITE 'D'
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-5602
Practice Address - Country:US
Practice Address - Phone:510-581-1274
Practice Address - Fax:510-581-1279
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT22182106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist