Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | PY00001972 | WA |
N | 103TC0700X | Clinical Psychologist | PY00001972 | WA |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PY00001972 | WA |
NPI | 1043268725 |
---|---|
Provider Name | Dr. Cynthia Ann Savoie |
First Address | Vancouver, WA 98662-7243 |
Second Address | Vancouver, WA 98662-7243 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 01/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100500174 | (05) | NV |