Cynthia Halliday | Santa Rosa, CA • PECOS Search

Cynthia Halliday

Marriage & Family Therapist

Behavioral Health & Social Service Providers

3442 Mendocino Ave, Suite A, Bldg. E, Santa Rosa, CA 95403-2221

PECOS Enrollment

Based on the most recent information from CMS, provider Cynthia Halliday does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1669611927
Provider Type
Individual
Full Name
Halliday, Cynthia
Title
Ms.
Credential
LMFT

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/10/2009
Last Updated
7/11/2014

Contact Information

Practice Location

3442 Mendocino Ave, Suite A, Bldg. E, Santa Rosa, CA 95403-2221

(707) 544-1513

Mailing Location

PO Box 261, Fulton, CA 95439-0261

(707) 544-1513

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 45120 California