Individual
MS. CYNTHIA SUSAN KEYSOR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
170 THOMAS JOHNSON DR, FREDERICK, MD 21702-4354
(301) 663-1986
Mailing address
170 THOMAS JOHNSON DR, FREDERICK, MD 21702-4354
(301) 663-1986
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
03542
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03542
STATE LICENSE
MD
Enumeration date
03/27/2006
Last updated
07/21/2022
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