Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 23618 | TX |
Y | 103T00000X | Psychologist | 23618 | TX |
NPI | 1003441247 |
---|---|
Provider Name | Dr. Cynthia Ann Plotts |
First Address | Fischer, TX 78623-1801 |
Second Address | San Marcos, TX 78666-5749 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2020 |
Last Update Date | 09/03/2020 |