Provider Demographics
NPI:1518045723
Name:TYNDALL, KAREN S (LPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:S
Last Name:TYNDALL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:SUE
Other - Last Name:TYNDALL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:2419 COIT RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-3731
Mailing Address - Country:US
Mailing Address - Phone:972-897-1507
Mailing Address - Fax:972-867-2497
Practice Address - Street 1:1120 RANDLETT ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-1600
Practice Address - Country:US
Practice Address - Phone:972-897-1507
Practice Address - Fax:972-867-2497
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68996101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional