Basic Information
Provider Information
NPI: 1083838155
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGLER
FirstName: CYNTHIA
MiddleName: L
NamePrefix: MS.
NameSuffix:  
Credential: SLP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1600 LAKELAND HILLS BLVD
Address2:  
City: LAKELAND
State: FL
PostalCode: 338053019
CountryCode: US
TelephoneNumber: 8636807000
FaxNumber: 8636807420
Practice Location
Address1: 1430 LAKELAND HILLS BLVD
Address2:  
City: LAKELAND
State: FL
PostalCode: 33805
CountryCode: US
TelephoneNumber: 8636807700
FaxNumber: 8636807958
Other Information
ProviderEnumerationDate: 04/12/2007
LastUpdateDate: 10/07/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000XSZ2839FLN Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 
235Z00000XSA6667FLY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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