| Doctor Name: | DR. KAREN RANIQUE STREETER |
| NPI Number: | 1093992612 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | |
| Business Practice Address: | 9271 Randle Valley Dr Cordova, TN - 380187726 |
| Business Phone Number: | 9016502569 |
| Business Fax Number: | |
| Mailing Address: | 9271 Randle Valley Dr, CORDOVA |
| State: | TN |
| Postal Code: | 380187726 |
| Phone Number: | 9016502569 |
| Fax Number: | |
| NPI Enumeration Date: | 01/25/2008 |
| NPI Last Update Date: | 02/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |