Provider Demographics
NPI:1871901744
Name:LEDESMA, CYNTHIA (LMFT)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:
Last Name:LEDESMA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 TUCKAHOE RD # 1137
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-5707
Mailing Address - Country:US
Mailing Address - Phone:914-303-6910
Mailing Address - Fax:
Practice Address - Street 1:7 ODELL PLZ UNIT 972
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10703-7548
Practice Address - Country:US
Practice Address - Phone:914-810-4637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-23
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001876106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist