Provider Demographics
NPI:1972612679
Name:BRYNDAL, BARBARA ANNE (LPCC LICDC)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ANNE
Last Name:BRYNDAL
Suffix:
Gender:F
Credentials:LPCC LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14637 RUSSELL LANE
Mailing Address - Street 2:
Mailing Address - City:NOVELTY
Mailing Address - State:OH
Mailing Address - Zip Code:44072
Mailing Address - Country:US
Mailing Address - Phone:440-477-1466
Mailing Address - Fax:440-338-4778
Practice Address - Street 1:26 SOUTH FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022
Practice Address - Country:US
Practice Address - Phone:440-477-1466
Practice Address - Fax:440-338-4778
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0000229101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor