Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 25473 | TX |
Y | 103TC0700X | Clinical Psychologist | 25473 | TX |
N | 103TR0400X | Rehabilitation Psychologist | 25473 | TX |
NPI | 1144218918 |
---|---|
Provider Name | Dr. Karen Elizabeth West |
First Address | Houston, TX 77063-2318 |
Second Address | Houston, TX 77063-2318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2005 |
Last Update Date | 31/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
029614702 | (05) | TX |