Basic Information
| Provider Information | |||||||||
| NPI: | 1801105838 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SWINDELL | ||||||||
| FirstName: | CYNTHIA | ||||||||
| MiddleName: | J. | ||||||||
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| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 123 AYLESWORTH NW | ||||||||
| Address2: | CSU HEALTH NETWORK COUNSELING SERVICES | ||||||||
| City: | FORT COLLINS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 805238010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9704915789 | ||||||||
| FaxNumber: | 9704912382 | ||||||||
| Practice Location | |||||||||
| Address1: | 123 AYLESWORTH NW | ||||||||
| Address2: | CSU HEALTH NETWORK COUNSELING SERVICES | ||||||||
| City: | FORT COLLINS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 805238010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9704915789 | ||||||||
| FaxNumber: | 9704912382 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/24/2010 | ||||||||
| LastUpdateDate: | 09/24/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC1900X | 1418 | CO | Y | Behavioral Health & Social Service Providers | Psychologist | Counseling |
No ID Information.