Individual
LYNDA P KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
3624 NORTH HILLS DRIVE, SUITE # B-205, AUSTIN, TX 78731
(512) 794-9355
(512) 794-0076
Mailing address
420 BRADY LANE, AUSTIN, TX 78746
(512) 327-2569
(512) 327-5322
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15240
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2435207
AETNA HMO PIN
TX
01
—
74-2842143
TAX PIN
TX
01
—
742842143
HUMANA PPO & HMO PIN
TX
01
—
7633005
AETNA PPO-PIN
TX
Enumeration date
12/12/2006
Last updated
07/08/2007
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