MEDICARE: DR. KAREN ELIZABETH WEST PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	25473	TX
2	103TR0400X	Rehabilitation Psychologist	25473	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144218918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN ELIZABETH WEST PHD

Provider Business Mailing Address
First Line	:	2450 FONDREN RD
Second Line	:	SUITE 312
City	:	HOUSTON
State	:	TX
Zip	:	77063-2318
Country	:	US
Telephone Number	:	713-789-7560
Fax Number	:	713-789-7351

Provider Business Practice Location Address
First Line	:	2450 FONDREN RD
Second Line	:	SUITE 312
City	:	HOUSTON
State	:	TX
Zip	:	77063-2318
Country	:	US
Telephone Number	:	713-789-7560
Fax Number	:	713-789-7351

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	03/31/2010

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