Doctor Name: | KAREN GOTTSCHALK |
NPI Number: | 1003165770 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MALLP |
License Number: | 6301010464 |
Business Practice Address: | 2350 Washtenaw Ave Ste 7e Ann Arbor, MI - 481044532 |
Business Phone Number: | 7343329184 |
Business Fax Number: | |
Mailing Address: | 2350 Washtenaw Ave, Ste 7e ANN ARBOR |
State: | MI |
Postal Code: | 481044532 |
Phone Number: | 7343329184 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2012 |
NPI Last Update Date: | 09/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6301010464 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |