Doctor Name: | DR. KAREN ANN QUICK |
NPI Number: | 1194907295 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 014207 |
Business Practice Address: | 1829 Jerusalem Ave North Merrick, NY - 115661433 |
Business Phone Number: | 5165920521 |
Business Fax Number: | |
Mailing Address: | 1829 Jerusalem Ave, NORTH MERRICK |
State: | NY |
Postal Code: | 115661433 |
Phone Number: | 5167818386 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2007 |
NPI Last Update Date: | 11/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 014207 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |