Provider Demographics
NPI:1871797480
Name:PICHT, CYNTHIA L (LPC)
Entity type:Individual
Prefix:MISS
First Name:CYNTHIA
Middle Name:L
Last Name:PICHT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 GODWIN AVE FLOOR 3
Mailing Address - Street 2:
Mailing Address - City:MIDLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07432-1547
Mailing Address - Country:US
Mailing Address - Phone:201-444-8103
Mailing Address - Fax:201-444-8105
Practice Address - Street 1:317 GODWIN AVE FLOOR 3
Practice Address - Street 2:
Practice Address - City:MIDLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07432
Practice Address - Country:US
Practice Address - Phone:201-444-8103
Practice Address - Fax:201-444-8105
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00142100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional