Provider Demographics
NPI:1093052748
Name:WARRICK, KAREN JOY (PSY D)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:JOY
Last Name:WARRICK
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:J
Other - Last Name:SIEMENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSY D
Mailing Address - Street 1:PO BOX 20696
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93390-0696
Mailing Address - Country:US
Mailing Address - Phone:661-858-3846
Mailing Address - Fax:
Practice Address - Street 1:4819 CALLOWAY DR
Practice Address - Street 2:SUITE 102
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312
Practice Address - Country:US
Practice Address - Phone:661-858-3846
Practice Address - Fax:661-825-8170
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-14
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14239103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOPL142390Medicare PIN