Healthcare Provider Details

I. General information

NPI: 1801959416
Provider Name (Legal Business Name): HELENE R KARLIN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 ROUTE 37
NEW FAIRFIELD CT
06812
US

IV. Provider business mailing address

88 ROUTE 37
NEW FAIRFIELD CT
06812
US

V. Phone/Fax

Practice location:
  • Phone: 203-746-2436
  • Fax: 203-746-3205
Mailing address:
  • Phone: 203-746-2436
  • Fax: 203-746-3205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1248
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: