Individual
DR. CYNTHIA L KOHLES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2455 BENNETT VALLEY RD, SUITE B208, SANTA ROSA, CA 95404-5663
(707) 529-5942
(707) 942-5062
Mailing address
2455 BENNETT VALLEY RD, SUITE B208, SANTA ROSA, CA 95404-5663
(707) 529-5942
(707) 942-5062
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
PSY17462
CA
103TC0700X
Clinical Psychologist
PSY17462
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY17462
CA
103TF0000X
Family Psychologist
PSY17462
CA
Other
Enumeration date
04/11/2006
Last updated
09/11/2025
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