MEDICARE: DR. KAREN A. WILKINSON PSY.D., LMFT

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	106H00000X	Marriage & Family Therapist	MFC31101	CA

General Provider Information

NPI Number	:	1487789905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN A. WILKINSON PSY.D., LMFT

Provider Business Mailing Address
First Line	:	25301 CABOT RD STE 114
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-5511
Country	:	US
Telephone Number	:	949-951-8369
Fax Number	:	949-586-5860

Provider Business Practice Location Address
First Line	:	25301 CABOT RD STE 114
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-5511
Country	:	US
Telephone Number	:	949-951-8369
Fax Number	:	949-586-5860

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

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	07/08/2007

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