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Contact Information

CYNTHIA A LEASE, PHD
1970 ROANOKE BLVD
SALEM, VA24153-6404
 Phone: 540-982-2463
 Fax: 540-224-1957
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CYNTHIA A LEASE · (Female)

NPI Number 1831150457
Status Active
Credentials PHD
Entity Individual
Enumeration date 03/31/2006
Last updated 05/19/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0810002492
  • VA Medicaid 7708084
  • Other 39373 ANTHEM BCBS
  • Other 280449 MAGELLAN
  • Other 250254 MAMSI
  • Other 087373 SENTARA
  • Other 253567 VALUE OPTIONS
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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