MEDICARE: DR. KAREN ELIZABETH LOOPS PSY.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	103G00000X	Clinical Neuropsychologist	016578-1	NY

General Provider Information

NPI Number	:	1376591578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN ELIZABETH LOOPS PSY.D.

Provider Business Mailing Address
First Line	:	315 MADISON AVE
Second Line	:	SUITE 506
City	:	NEW YORK
State	:	NY
Zip	:	10017-5405
Country	:	US
Telephone Number	:	646-456-7956
Fax Number	:	212-737-4657

Provider Business Practice Location Address
First Line	:	315 MADISON AVE
Second Line	:	SUITE 506
City	:	NEW YORK
State	:	NY
Zip	:	10017-5405
Country	:	US
Telephone Number	:	646-456-7956
Fax Number	:	212-737-4657

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	11/17/2011

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