Provider Demographics
NPI:1912170937
Name:CHAUNDY, KARIN (MA, LLP)
Entity Type:Individual
Prefix:MS
First Name:KARIN
Middle Name:
Last Name:CHAUNDY
Suffix:
Gender:F
Credentials:MA, LLP
Other - Prefix:MS
Other - First Name:KARIN
Other - Middle Name:
Other - Last Name:SPRENGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LLP
Mailing Address - Street 1:2049 ROBINWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43620-1580
Mailing Address - Country:US
Mailing Address - Phone:734-788-1369
Mailing Address - Fax:734-479-1637
Practice Address - Street 1:19366 ALLEN RD
Practice Address - Street 2:SUITE C
Practice Address - City:BROWNSTOWN TWP
Practice Address - State:MI
Practice Address - Zip Code:48183-6809
Practice Address - Country:US
Practice Address - Phone:734-479-0949
Practice Address - Fax:734-479-1637
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301005336103T00000X, 103TA0400X, 103TA0700X, 103TB0200X, 103TC1900X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy