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Contact Information

SYLVIA M CUPP, LPC, LCDC
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX78234-4504
 Phone: 210-539-2644
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for SYLVIA M CUPP · (Female)

NPI # 1760473607
Status Active
Credentials LPC, LCDC
Entity Individual
Enumeration date 10/31/2005
Last updated 06/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 18909
  • TX License # 9817
  • TX Medicaid 1760473607
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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