Healthcare Provider Details

I. General information

NPI: 1083637318
Provider Name (Legal Business Name): KAREN PARKER ANDERSON PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 MARICOPA HWY CLINICAS DEL CAMINO REAL DNE
OJAI CA
93023
US

IV. Provider business mailing address

6250 TELEGRAPH RD #1404
VENTURA CA
93003
US

V. Phone/Fax

Practice location:
  • Phone: 805-640-8293
  • Fax: 805-640-1410
Mailing address:
  • Phone: 805-216-4790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY13264
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: