MEDICARE: DR. KAREN DOLORES HUTTEMANN PH.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	103T00000X	Psychologist	5959	NJ

General Provider Information

NPI Number	:	1902382435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN DOLORES HUTTEMANN PH.D.

Provider Business Mailing Address
First Line	:	40 BEY LEA RD BLDG A
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-2989
Country	:	US
Telephone Number	:	732-349-5550
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 BEY LEA RD BLDG 9
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-2989
Country	:	US
Telephone Number	:	732-349-5550
Fax Number	:

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

Provider Enumeration Date	:	07/18/2018
Last Update Date	:	07/25/2024

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