Cynthia Chestnut, PH.D., LMFT

Individual provider Active NPI Marriage & Family Therapist · Middletown, DE

NPI 1407192511 · NPPES record last updated May 2, 2013

Key facts

NPI
1407192511
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
FT-0000025 (DE)
Practice address
4 Hogan Cir
Middletown, DE 19709-9367
Phone
(302) 373-7312
NPI assigned
Dec 17, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
FT-0000025DEMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X FT-0000025 DE Yes

Addresses

Primary practice location

4 Hogan Cir
Middletown, DE 19709-9367

Mailing address

4 Hogan Cir
Middletown, DE 19709-9367
Phone (302) 373-7312

Other providers in Middletown, DE

All providers in Middletown, DE · Marriage & Family Therapist in Delaware

Sources for this page

Verify at the official NPI Registry.