Healthcare Provider Details

I. General information

NPI: 1255925137
Provider Name (Legal Business Name): KAREN TOKARICK PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2021
Last Update Date: 02/22/2021
Certification Date: 02/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 S LIBERTY ST
ORWIGSBURG PA
17961-2110
US

IV. Provider business mailing address

1130 SUMMER HILL RD
AUBURN PA
17922-9013
US

V. Phone/Fax

Practice location:
  • Phone: 570-366-1154
  • Fax:
Mailing address:
  • Phone: 570-573-5011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: