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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. CYNTHIA ANN MILLER WYATT, LCSW

Active Sole Proprietor

MRS. CYNTHIA ANN MILLER WYATT, LCSW is a Clinical Social Worker healthcare provider located in PETERSON SPACE FORCE BASE, Colorado. NPI 1144207721 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PETERSON SPACE FORCE BASE, CO

Registration Details

NPI Number
1144207721
Provider Type
Individual
Gender
Female
NPI Issued
Dec 27, 2005 (20.448323512852 yrs)
Last Updated
Aug 31, 2022
Licenses
989226 (CO)
8441 (LA)
41874 (TX)
Sole Proprietor
Yes

Practice Information

Address
100 W ENT AVE
BUILDING 725
PETERSON SPACE FORCE BASE, CO, 80916
Browse CO providers · Browse ZIP 80916
Phone
7195568943
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in PETERSON SPACE FORCE BASE, CO

Name Credential NPI
KRISTIN BOTHWELL LICSW 1417123191
LACEY L MILLS 1114413598
KATHRYN E O'CONNELL LCSW 1215609763
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.