Individual
DR. CYNTHIA J RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4464 S DIXIE HWY, MIDDLETOWN, MIDDLETOWN, OH 45005-5464
(543) 649-8008
(513) 649-8004
Mailing address
17 PEACH ORCHARD RD, DAYTON, OH 45419-2552
(937) 307-7060
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-071071
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074861
MEDICAID LEGACY NUMBER CHEMICAL DEPENDENCY
OH
01
—
0074946
MEDICAID LEGACY NUMBER MENTAL HEALTH
OH
05
—
2051774
—
OH
01
—
311175717171
CARESOURCE
OH
01
—
H130910
MEDICARE GROUP PTAN
OH
01
—
PENDING
MEDICARE PENDING FOR ACCESS COUNSELING SERVICES, LLC
OH
Enumeration date
06/07/2006
Last updated
09/08/2014
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