Individual
CYNTHIA PENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7509 MANCHACA RD, 109, AUSTIN, TX 78745-6025
(512) 922-5865
(512) 292-1144
Mailing address
7509 MANCHACA RD, 109, AUSTIN, TX 78745-6025
(512) 292-1122
(512) 292-1144
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
54358
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00838B
BLUECROSS BLUESHEILD
TX
Enumeration date
10/07/2015
Last updated
10/07/2015
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