Provider Demographics
NPI:1992794432
Name:LINDEMAN, CYNTHIA JEANETTE (LPC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:JEANETTE
Last Name:LINDEMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 COMMERCE ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-4950
Mailing Address - Country:US
Mailing Address - Phone:830-792-4477
Mailing Address - Fax:830-792-4546
Practice Address - Street 1:123 COMMERCE ST
Practice Address - Street 2:SUITE C
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-4950
Practice Address - Country:US
Practice Address - Phone:830-792-4477
Practice Address - Fax:830-792-4546
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14623101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health