Provider Demographics
NPI:1578021226
Name:TEADERMAN, CYNTHIA (LSW)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:TEADERMAN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FAMILYLINKS, INC
Mailing Address - Street 2:250 SHADY AVENUE
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206
Mailing Address - Country:US
Mailing Address - Phone:866-583-6003
Mailing Address - Fax:412-924-0259
Practice Address - Street 1:FAMILYLINKS, INC
Practice Address - Street 2:250 SHADY AVENUE
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206
Practice Address - Country:US
Practice Address - Phone:866-583-6003
Practice Address - Fax:412-924-0259
Is Sole Proprietor?:No
Enumeration Date:2019-03-12
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
PASW141535101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator