Provider Demographics
NPI:1073823290
Name:IREY, KAREN V (MSW, PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:V
Last Name:IREY
Suffix:
Gender:F
Credentials:MSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2807 MAJESTY CT
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-7529
Mailing Address - Country:US
Mailing Address - Phone:405-360-6932
Mailing Address - Fax:
Practice Address - Street 1:2807 MAJESTY CT
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-7529
Practice Address - Country:US
Practice Address - Phone:405-360-6932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-21
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK07581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical