Individual
CYNTHIA DEANN PENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
635 E BASELINE RD, PHOENIX, AZ 85042-6551
(602) 243-7277
(602) 243-1235
Mailing address
1440 W NORTH AVE, STE 303-A, MELROSE PARK, IL 60160-1422
(877) 807-5120
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071009253
IL
103TC0700X
Clinical Psychologist
Primary
PSY005033
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
447808
—
AZ
Enumeration date
02/15/2016
Last updated
12/13/2018
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