Healthcare Provider Details

I. General information

NPI: 1720449481
Provider Name (Legal Business Name): KAREN LYNN DAPPER PSYCHOLOGIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2016
Last Update Date: 09/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

547 E 11TH AVE
COLUMBUS OH
43211-2603
US

IV. Provider business mailing address

3872 E HARBOR LIGHT LANDING DR
PORT CLINTON OH
43452-3877
US

V. Phone/Fax

Practice location:
  • Phone: 614-224-4506
  • Fax: 614-291-0118
Mailing address:
  • Phone: 419-734-3333
  • Fax: 877-734-2030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN 132081
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5321
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: