Individual
DR. CYNTHIA LYNN WEISSBEIN MACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1821 4TH ST, SANTA ROSA, CA 95404-3202
(707) 484-7979
(707) 566-2115
Mailing address
2133 CALISTOGA RD, SANTA ROSA, CA 95404-8417
(707) 484-7979
(707) 566-2115
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY14465
CA
103TC0700X
Clinical Psychologist
Primary
PSY14465
CA
Other
Enumeration date
03/20/2007
Last updated
04/01/2013
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