Healthcare Provider Details

I. General information

NPI: 1265220214
Provider Name (Legal Business Name): LINDA SARAH CHEMPANAL PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3465 NATIONAL DR STE 215
PLANO TX
75025-1095
US

IV. Provider business mailing address

4529 SHAMROCK DR
FRISCO TX
75034-2105
US

V. Phone/Fax

Practice location:
  • Phone: 972-987-5460
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: