Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | SW013212L | PA |
Y | 1041C0700X | Clinical Social Worker | CW021947 | PA |
NPI | 1174091052 |
---|---|
Provider Name | Cynthia Mccrea |
First Address | Cranberry Twp, PA 16066-5020 |
Second Address | Cranberry Twp, PA 16066-5020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2018 |
Last Update Date | 14/07/2021 |