Individual
CYNTHIA CHADWICK MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSSP
Contact information
Practice address
301 N KILGORE ST, KILGORE, TX 75662-5825
(903) 988-3900
(903) 983-3212
Mailing address
301 N KILGORE ST, KILGORE, TX 75662-5825
(903) 988-3900
(903) 983-3212
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
32605
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32605
—
TX
Enumeration date
08/26/2022
Last updated
08/26/2022
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