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NPI Code Detail

MEDICARE: LYNDA M KING LPC

MEDICARE: LYNDA M KING 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
1101YP2500XProfessional CounselorLPC-12992AZ

General Provider Information

NPI Number : 1801297338
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNDA M KING LPC
Provider Business Mailing Address
First Line : 202 E. EARLL DR.
Second Line : SUITE 200
City : PHOENIX
State : AZ
Zip : 85012-2647
Country : US
Telephone Number : 602-808-2800
Fax Number : 602-599-5711
Provider Business Practice Location Address
First Line : 262 E. UNIVERSITY
Second Line :
City : MESA
State : AZ
Zip : 85201-5932
Country : US
Telephone Number : 602-808-2800
Fax Number : 602-599-5711
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2014
Last Update Date : 09/16/2014

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Directions to “ LYNDA M KING LPC” Practice Location

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