Provider Demographics
NPI:1639375926
Name:DENDY, AMBER ALYNN (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:ALYNN
Last Name:DENDY
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 294201
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78029-4201
Mailing Address - Country:US
Mailing Address - Phone:325-998-2599
Mailing Address - Fax:830-310-7154
Practice Address - Street 1:273 INDIAN LAKE DR
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-1770
Practice Address - Country:US
Practice Address - Phone:325-998-2599
Practice Address - Fax:303-107-1548
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61614101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional