Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 071-006197 | IL |
N | 103TC0700X | Clinical Psychologist | 071-006197 | IL |
Y | 103G00000X | Clinical Psychologist | 1630 | NM |
Y | 103TC0700X | Clinical Psychologist | 1630 | NM |
N | 103G00000X | Clinical Psychologist | 561 | SD |
N | 103TC0700X | Clinical Psychologist | 561 | SD |
N | 103G00000X | Clinical Psychologist | 6301015856 | MI |
N | 103TC0700X | Clinical Psychologist | 6301015856 | MI |
NPI | 1003039074 |
---|---|
Provider Name | Dr. Cynthia A. Ziemer |
First Address | Albuquerque, NM 87114-3201 |
Second Address | Albuquerque, NM 87121-1927 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 16/10/2020 |