Doctor Name: | KAREN PHILIPPE |
NPI Number: | 1033599675 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 3313 Washington St Ste 3 Jamaica Plain, MA - 021302691 |
Business Phone Number: | 6175220650 |
Business Fax Number: | |
Mailing Address: | 1924 Hyde Park Ave # 1, HYDE PARK |
State: | MA |
Postal Code: | 021362322 |
Phone Number: | 7814920222 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2015 |
NPI Last Update Date: | 06/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |