Individual
CYNTHIA ANNE CLAASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1617 HEMPHILL ST, FORT WORTH, TX 76104
(817) 702-3100
(817) 702-4847
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-8450
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
25805
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040092101
—
TX
05
—
040092102
—
TX
01
—
88066A
BCBS
TX
Enumeration date
04/05/2006
Last updated
11/08/2018
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