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NPI Profile for MARY M CEYNOWA in GOLDEN, CO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI # | 1518261833 |
|
| Status | Active | |
| Credentials | LPC, LP | |
| Entity | Individual | |
| Enumeration date | 12/29/2010 | |
| Last updated | 12/29/2010 - About 15 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARY M CEYNOWA
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MARY M CEYNOWA, LPC, LP