MEDICARE: MS. TAMAR SHINDEL LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC-15554	AZ

General Provider Information

NPI Number	:	1548703762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TAMAR SHINDEL LPC

Provider Business Mailing Address
First Line	:	1425 W ELLIOT RD STE 207
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85233-5142
Country	:	US
Telephone Number	:	480-648-9497
Fax Number	:

Provider Business Practice Location Address
First Line	:	1425 W ELLIOT RD STE 207
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85233-5142
Country	:	US
Telephone Number	:	480-648-9497
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2016
Last Update Date	:	11/19/2016

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