Dr Cynthia Adele Klubnik, PHD is a
Psychologist - School based in Philomath, Oregon. Dr Cynthia Adele Klubnik is licensed to practice in Oregon (license number 2203) and her current practice location is
111 N 20th St, Philomath, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 368-4313.
NPI number for Dr Cynthia Adele Klubnik is 1215239520 and her current mailing address is Po Box 455, Philomath, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215239520.
Healthcare Provider's Profile
| Full Name | Dr Cynthia Adele Klubnik |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - School |
|---|
| Location | 111 N 20th St, Philomath, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1215239520
- Provider Enumeration Date: 11/19/2010
- Last Update Date: 12/10/2012
Medical Identifiers
Medical identifiers for Dr Cynthia Adele Klubnik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215239520 | NPI | - | NPPES |
| 103I682739 | Other | | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 2203 (Oregon) | Secondary |
| 103TS0200X | Psychologist - School | 2203 (Oregon) | Primary |
| 103K00000X | Behavior Analyst | 1-11-8303 (Tennessee) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 2203 (Oregon) | Secondary |
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. Dr Cynthia Adele Klubnik 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 Address | Practice Location Address |
|---|
Dr Cynthia Adele Klubnik, PHD
Po Box 455,
Philomath, OR 97370-0455
Ph: (541) 368-4313 | Dr Cynthia Adele Klubnik, PHD
111 N 20th St,
Philomath, OR 97370-9535
Ph: (541) 368-4313 |
Reviews and Comments