Provider Demographics
NPI:1578631370
Name:WESTRICH, CYNTHIA ANNE (MA ATR BC LPC)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:ANNE
Last Name:WESTRICH
Suffix:
Gender:F
Credentials:MA ATR BC LPC
Other - Prefix:MS
Other - First Name:CYNDIE
Other - Middle Name:ANNE
Other - Last Name:WESTRICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA ATR BC
Mailing Address - Street 1:210 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-2756
Mailing Address - Country:US
Mailing Address - Phone:610-329-1684
Mailing Address - Fax:
Practice Address - Street 1:210 2ND AVE
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-2756
Practice Address - Country:US
Practice Address - Phone:610-329-1684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
96044221700000X
PAPC004783101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist