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NPI Code Detail

MEDICARE: DR. KAREN L WOLMAN PSY D

MEDICARE: DR. KAREN L WOLMAN 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
1103T00000XPsychologistPY6288FL

General Provider Information

NPI Number : 1942314984
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAREN L WOLMAN PSY D
Provider Business Mailing Address
First Line : PO BOX 2363
Second Line :
City : WINDERMERE
State : FL
Zip : 34786-2363
Country : US
Telephone Number : 407-493-4045
Fax Number : 918-401-8648
Provider Business Practice Location Address
First Line : 6645 VINELAND RD
Second Line : SUITE 270
City : ORLANDO
State : FL
Zip : 32819-7841
Country : US
Telephone Number : 407-493-4045
Fax Number : 918-401-8648
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 08/26/2016

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