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NPI Code Detail

MEDICARE: KAREN ANDERSON PHD PSYCHOLOGIST

MEDICARE: KAREN ANDERSON PHD PSYCHOLOGIST
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
1103TC2200XClinical Child & Adolescent PsychologistPY00002038WA

General Provider Information

NPI Number : 1891904454
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN ANDERSON PHD PSYCHOLOGIST
Provider Business Mailing Address
First Line : 2400 NE 95TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98115-2426
Country : US
Telephone Number : 206-525-5050
Fax Number : 206-525-9795
Provider Business Practice Location Address
First Line : 2400 NE 95TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98115-2426
Country : US
Telephone Number : 206-525-5050
Fax Number : 206-525-9795
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 07/08/2007

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Directions to “ KAREN ANDERSON PHD PSYCHOLOGIST” Practice Location

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