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NPI Code Detail

MEDICARE: KARLIE KRAUSE PSY.D.

MEDICARE:   KARLIE  KRAUSE  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
1103G00000XClinical NeuropsychologistPSY-005556AZ
2103TC0700XClinical PsychologistPSY-T-000058AZ

General Provider Information

NPI Number : 1447988910
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLIE KRAUSE PSY.D.
Provider Business Mailing Address
First Line : 2108 E THOMAS RD STE 130
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-0008
Country : US
Telephone Number : 602-933-3124
Fax Number :
Provider Business Practice Location Address
First Line : 1919 E THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-7710
Country : US
Telephone Number : 602-933-0610
Fax Number : 602-933-8991
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2022
Last Update Date : 01/05/2026

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Directions to “ KARLIE KRAUSE PSY.D.” Practice Location

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