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Contact Information

LESLIE A TYNDALL, L.P.C.
2503 PECAN STREET
NACOGDOCHES, TX75963
 Phone: 409-656-6521
 Fax: 903-968-4492
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for LESLIE A TYNDALL · (Female)

NPI Number 1104040161
Status Active
Credentials L.P.C.
Entity Individual
Enumeration date 04/12/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 17100
  • TX Medicaid 160438102
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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