Organization Name: | DR. KAREN UNGERP.A. |
NPI Number: | 1003225095 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN KIMBERLING UNGER (CEO) |
Mailing Address: | 1802 Main St Valrico |
State: | FL US |
Postal Code: | 335946726 |
Phone Number: | 8132991933 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2014 |
NPI Last Update Date: | 08/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH6433 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |