Provider Demographics
NPI:1922203652
Name:KENDRICK, LYNNSEY CAROLINE (BS)
Entity Type:Individual
Prefix:MISS
First Name:LYNNSEY
Middle Name:CAROLINE
Last Name:KENDRICK
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 OLD POND RD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-3047
Mailing Address - Country:US
Mailing Address - Phone:405-255-8612
Mailing Address - Fax:
Practice Address - Street 1:112 N. MCKINLEY
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:OK
Practice Address - Zip Code:74834
Practice Address - Country:US
Practice Address - Phone:405-258-3040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor