Individual
MS. CYNTHIA LOUISE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
R0338971
NY
103TP0814X
Psychoanalysis Psychologist
Primary
R0338971
NY
1041C0700X
Clinical Social Worker
R0338971
NY
Other
Enumeration date
12/14/2006
Last updated
09/11/2025
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