| Sarah Tyndall Llc | |
|
140 Prospect Ave Ste H Kirkwood MO 63122-6024 | |
| (314) 516-3753 | |
| (833) 902-1016 |
| Full Name | Sarah Tyndall Llc |
|---|---|
| Speciality | Social Worker |
| Location | 140 Prospect Ave Ste H, Kirkwood, Missouri |
| Authorized Official Name and Position | Sarah Tyndall (OWNER) |
| Authorized Official Contact | 3145163753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Tyndall Llc 3845 Flad Ave Saint Louis MO 63110-4023 Ph: (314) 516-3753 | Sarah Tyndall Llc 140 Prospect Ave Ste H Kirkwood MO 63122-6024 Ph: (314) 516-3753 |
| NPI Number | 1073222683 |
|---|---|
| Provider Enumeration Date | 11/22/2022 |
| Last Update Date | 11/22/2022 |
| Certification Date | 11/22/2022 |
| Medicare PECOS PAC ID | 5890166029 |
|---|---|
| Medicare Enrollment ID | O20230125001816 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073222683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sarah Elizabeth Tyndall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508195538 PECOS PAC ID: 3375667165 Enrollment ID: I20100831000639 |
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