| Doctor Name: | DR. KAREN HETZEL |
| NPI Number: | 1013054998 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, APRN, BC |
| License Number: | 144649 |
| Business Practice Address: | 1342 Belmont St Suite 101 Brockton, MA - 023014437 |
| Business Phone Number: | 5085831600 |
| Business Fax Number: | |
| Mailing Address: | 1342 Belmont St, Suite 101 BROCKTON |
| State: | MA |
| Postal Code: | 023014436 |
| Phone Number: | 5082386956 |
| Fax Number: | |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0807X |
| License Number: | 144649 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
| Taxonomy Definition: | |