MEDICARE: KAREN G PFEIFFER

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	106H00000X	Marriage & Family Therapist	50164	CA

General Provider Information

NPI Number	:	1902014236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN G PFEIFFER

Provider Business Mailing Address
First Line	:	1601 CARMEN DR STE 111
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93010-3103
Country	:	US
Telephone Number	:	805-987-7006
Fax Number	:	805-987-6106

Provider Business Practice Location Address
First Line	:	1601 CARMEN DR STE 111
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93010-3103
Country	:	US
Telephone Number	:	805-987-7006
Fax Number	:	805-987-6106

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

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	09/30/2014

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Directions to “ KAREN G PFEIFFER ” Practice Location

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