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Individual

CYNTHIA SUE BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
Mailing address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
3604
CO
103TC0700X
Clinical Psychologist
2002030476
MO
103TC0700X
Clinical Psychologist
Primary
3604
CO
103TC0700X
Clinical Psychologist
375
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13278
ND
01
3604
COLORADO LICENSE
CO
05
660211800
MN
Enumeration date
07/18/2006
Last updated
11/12/2024
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