Provider Demographics
NPI:1548347883
Name:MONAHON, CYNTHIA (PSYD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:
Last Name:MONAHON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 UNION ST.
Mailing Address - Street 2:THE BUTTON BUILDING #201
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027
Mailing Address - Country:US
Mailing Address - Phone:413-527-1300
Mailing Address - Fax:413-527-3100
Practice Address - Street 1:123 UNION ST.
Practice Address - Street 2:THE BUTTON BUILDING #201
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027
Practice Address - Country:US
Practice Address - Phone:413-527-1300
Practice Address - Fax:413-527-3100
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3626103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3626OtherLICENSE