Provider Demographics
NPI:1447359260
Name:ELWOOD, CYNDEE J (MFT)
Entity type:Individual
Prefix:MISS
First Name:CYNDEE
Middle Name:J
Last Name:ELWOOD
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14360 SAINT ANDREWS DR
Mailing Address - Street 2:SUITE 7
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-4358
Mailing Address - Country:US
Mailing Address - Phone:760-780-4750
Mailing Address - Fax:760-245-5896
Practice Address - Street 1:14360 SAINT ANDREWS DR
Practice Address - Street 2:SUITE 7
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-4358
Practice Address - Country:US
Practice Address - Phone:760-780-4750
Practice Address - Fax:760-245-5896
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC35863106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist