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NPI Code Detail

MEDICARE: KAREN A MACDONALD PSY D

MEDICARE: KAREN A MACDONALD 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
1103TB0200XCognitive & Behavioral Psychologist01527MO

Other Identifiers

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

General Provider Information

NPI Number : 1598743452
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN A MACDONALD PSY D
Provider Business Mailing Address
First Line : 116 S LINCOLN DR
Second Line :
City : TROY
State : MO
Zip : 63379-1418
Country : US
Telephone Number : 636-528-1996
Fax Number : 636-528-1833
Provider Business Practice Location Address
First Line : 116 S LINCOLN DR
Second Line :
City : TROY
State : MO
Zip : 63379-1418
Country : US
Telephone Number : 636-528-1996
Fax Number : 636-528-1833
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2006
Last Update Date : 04/30/2008

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Directions to “ KAREN A MACDONALD PSY D” Practice Location

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