Organization Name: | KAREN I. MICHAELS |
NPI Number: | 1437434024 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN INGRID MICHAELS (LICENSED CLINICAL PSYCHOLOGIST) |
Mailing Address: | 5905 Soquel Dr Ste. 550 Soquel |
State: | CA US |
Postal Code: | 950732861 |
Phone Number: | 8312340314 |
Fax Number: | 8316850350 |
NPI Enumeration Date: | 10/15/2011 |
NPI Last Update Date: | 10/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0700X |
License Number: | 23546 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Adult Development & Aging |
Taxonomy Definition: |