NPI 1205966728 · live from the CMS NPI Registry
Cynthia Acks-Stewart
Psychologist in Sebastopol, CA. National Provider Identifier 1205966728, active.
NPI record
| NPI | 1205966728 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 435 Petaluma Ave Ste 136, Sebastopol, CA 95472 |
| Practice phone | 707-387-0245 |
| Mailing address | 8801 Marianna Dr, Forestville, CA 95436 |
| Enumerated | March 6, 2007 |
| Last updated | May 5, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | 27309 (CA) |
| Psychologist primary | 103T00000X | — (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.