| Karen Y Tyndall Ph D P C | |
|
3400 Nw Expressway St Suite 312 Oklahoma City OK 73112-4493 | |
| (405) 945-4999 | |
| Not Available |
| Full Name | Karen Y Tyndall Ph D P C |
|---|---|
| Speciality | Psychologist |
| Location | 3400 Nw Expressway St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Karen Y Tyndall (PRESIDENT) |
| Authorized Official Contact | 4059454999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen Y Tyndall Ph D P C Po Box 7512 Edmond OK 73083-7512 Ph: (405) 945-4999 | Karen Y Tyndall Ph D P C 3400 Nw Expressway St Suite 312 Oklahoma City OK 73112-4493 Ph: (405) 945-4999 |
| NPI Number | 1073675211 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 6305935073 |
|---|---|
| Medicare Enrollment ID | O20071203000577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073675211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 719 (Oklahoma) | Secondary |
| 103T00000X | Psychologist | 719 (Oklahoma) | Primary |
| Provider Name | Karen Y Tyndall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669409272 PECOS PAC ID: 2264521012 Enrollment ID: I20071203000332 |
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