Healthcare Provider Details

I. General information

NPI: 1518123546
Provider Name (Legal Business Name): KARMEN RENEE GADSDEN PH.D., PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2008
Last Update Date: 04/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 CENTURY PL SE
HICKORY NC
28602-4031
US

IV. Provider business mailing address

2440 CENTURY PL SE
HICKORY NC
28602-4031
US

V. Phone/Fax

Practice location:
  • Phone: 828-431-5600
  • Fax: 828-431-5632
Mailing address:
  • Phone: 828-431-5600
  • Fax: 828-431-5632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY8459
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: