Provider Demographics
NPI:1205986502
Name:TYBOR, KAROLYN H (MED,LPC, LMFT)
Entity type:Individual
Prefix:MS
First Name:KAROLYN
Middle Name:H
Last Name:TYBOR
Suffix:
Gender:F
Credentials:MED,LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 OLD KYLE RD
Mailing Address - Street 2:
Mailing Address - City:WIMBERLEY
Mailing Address - State:TX
Mailing Address - Zip Code:78676-9701
Mailing Address - Country:US
Mailing Address - Phone:512-847-5508
Mailing Address - Fax:512-847-7075
Practice Address - Street 1:282 OLD KYLE RD
Practice Address - Street 2:
Practice Address - City:WIMBERLEY
Practice Address - State:TX
Practice Address - Zip Code:78676-9701
Practice Address - Country:US
Practice Address - Phone:512-847-5508
Practice Address - Fax:512-847-7075
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10845101YP2500X
TX4058106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist