Individual
DR. CYNTHIA ANN LEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 224-1957
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 224-1957
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002492
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087373
SENTARA
—
01
—
250254
MAMSI
—
01
—
253567
VALUE OPTIONS
—
01
—
280449
MAGELLAN
—
01
—
39373
ANTHEM BCBS
—
05
—
7708084
—
VA
Enumeration date
03/31/2006
Last updated
05/19/2009
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