Provider Demographics
NPI:1508339912
Name:SCHINDLER, CHARLES KYLE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:KYLE
Last Name:SCHINDLER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6610 34TH ST APT 1923
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407-2857
Mailing Address - Country:US
Mailing Address - Phone:979-966-8041
Mailing Address - Fax:
Practice Address - Street 1:1003 FLINT AVE RM 201
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79409-9803
Practice Address - Country:US
Practice Address - Phone:806-834-8071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-08
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37679103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling