Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 014207 | NY |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 014207 | NY |
N | 103TS0200X | School Psychologist | NY |
NPI | 1194907295 |
---|---|
Provider Name | Dr. Karen Ann Quick |
First Address | North Merrick, NY 11566-1433 |
Second Address | North Merrick, NY 11566-1433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2007 |
Last Update Date | 29/11/2007 |