Individual
MS. CYNTHIA MARIE TATE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
(913) 758-4280
Mailing address
130 PROVIDENCE RD, LAWRENCE, KS 66049-1628
(785) 841-7341
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1939
KS
Other
Enumeration date
04/17/2006
Last updated
07/08/2007
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