MEDICARE: DR. KAREN E SIMS 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	101YP2500X	Professional Counselor
2	103T00000X	Psychologist	PY0651	NV
3	103T00000X	Psychologist	34784	TX

General Provider Information

NPI Number	:	1306919022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN E SIMS PHD

Provider Business Mailing Address
First Line	:	6284 S RAINBOW BLVD
Second Line	:	SUITE 110
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3244
Country	:	US
Telephone Number	:	702-257-0140
Fax Number	:

Provider Business Practice Location Address
First Line	:	6284 S RAINBOW BLVD
Second Line	:	SUITE 110
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3244
Country	:	US
Telephone Number	:	702-257-0140
Fax Number	:

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

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	02/10/2015

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