MEDICARE: KAREN SUE SEITZ PH.D.

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	103T00000X	Psychologist	TX23479	TX

General Provider Information

NPI Number	:	1194942755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN SUE SEITZ PH.D.

Provider Business Mailing Address
First Line	:	16864 ROYAL CREST DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2529
Country	:	US
Telephone Number	:	281-488-5515
Fax Number	:	281-486-4897

Provider Business Practice Location Address
First Line	:	16864 ROYAL CREST DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2529
Country	:	US
Telephone Number	:	281-488-5515
Fax Number	:	281-486-4897

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

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	07/08/2007

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