Provider Demographics
NPI:1275611394
Name:LINDSAY, CAMBREY DORI (MA, LPC)
Entity Type:Individual
Prefix:
First Name:CAMBREY
Middle Name:DORI
Last Name:LINDSAY
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:CAMBREY
Other - Middle Name:DORI
Other - Last Name:LINDSAY BACCUS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:104 BLANCO ST
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-9353
Mailing Address - Country:US
Mailing Address - Phone:713-269-3326
Mailing Address - Fax:
Practice Address - Street 1:104 BLANCO ST
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-9353
Practice Address - Country:US
Practice Address - Phone:713-269-3326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16790101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional