Cynthia Virts Wickless, PHD - Psychologist in Mansfield Center, CT

Cynthia Virts Wickless, PHD is a Psychologist - Clinical based in Mansfield Center, Connecticut. Cynthia Virts Wickless is licensed to practice in Connecticut (license number 001515) and her current practice location is 196 Conantville Rd, Mansfield Center, Connecticut. She can be reached at her office (for appointments etc.) via phone at (860) 456-2793.

NPI number for Cynthia Virts Wickless is 1841390861 and her current mailing address is Po Box 114, 196 Conantville Rd, Mansfield Center, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841390861.

Contact Information

Cynthia Virts Wickless, PHD
196 Conantville Rd,
Mansfield Center, CT 06250-0114
(860) 456-2793
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCynthia Virts Wickless
GenderFemale
SpecialityPsychologist - Clinical
Location196 Conantville Rd, Mansfield Center, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1841390861
  • Provider Enumeration Date: 09/22/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Cynthia Virts Wickless such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841390861NPI-NPPES
060001515CT01OtherBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 001515 (Connecticut)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cynthia Virts Wickless is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cynthia Virts Wickless, PHD
Po Box 114, 196 Conantville Rd,
Mansfield Center, CT 06250-0114

Ph: (860) 456-2793
Cynthia Virts Wickless, PHD
196 Conantville Rd,
Mansfield Center, CT 06250-0114

Ph: (860) 456-2793

Reviews and Comments


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