Provider Demographics
NPI:1033110473
Name:ALLMACHER, KAREN KAY (EDD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:KAY
Last Name:ALLMACHER
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38787 BYRIVER ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-1817
Mailing Address - Country:US
Mailing Address - Phone:586-469-1872
Mailing Address - Fax:
Practice Address - Street 1:38787 BYRIVER ST
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48036-1817
Practice Address - Country:US
Practice Address - Phone:586-469-1872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301002578103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0E045281621Medicare ID - Type Unspecified