Healthcare Provider Details

I. General information

NPI: 1528611902
Provider Name (Legal Business Name): KARINA KARNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2019
Last Update Date: 10/17/2024
Certification Date: 10/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E 38TH ST
SIOUX FALLS SD
57105-5815
US

IV. Provider business mailing address

201 E 38TH ST
SIOUX FALLS SD
57105-5815
US

V. Phone/Fax

Practice location:
  • Phone: 605-367-7900
  • Fax:
Mailing address:
  • Phone: 605-367-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: