Provider Demographics
NPI:1033255740
Name:LENIER, KAREN E (PHD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:E
Last Name:LENIER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5720 COSTELLO AVENUE
Mailing Address - Street 2:
Mailing Address - City:VALLEY GLEN
Mailing Address - State:CA
Mailing Address - Zip Code:91401
Mailing Address - Country:US
Mailing Address - Phone:878-413-3560
Mailing Address - Fax:818-901-0975
Practice Address - Street 1:12840 RIVERSIDE DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607
Practice Address - Country:US
Practice Address - Phone:818-413-3560
Practice Address - Fax:818-901-0975
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY18940103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA559183OtherVALUE OPTIONS