Doctor Name: | AMY TINDELL |
NPI Number: | 1003081738 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 41378 |
Business Practice Address: | 3230 Fall Creek Hwy Ste 110 Granbury, TX - 760497909 |
Business Phone Number: | 8177261851 |
Business Fax Number: | |
Mailing Address: | 2112 Darby Dan Ct, GRANBURY |
State: | TX |
Postal Code: | 760498075 |
Phone Number: | 8177060016 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2008 |
NPI Last Update Date: | 06/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 41378 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |