Provider Demographics
NPI:1134306863
Name:GHOLL-BEDEWI, KAREEN ANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREEN
Middle Name:ANNE
Last Name:GHOLL-BEDEWI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 MONTGOMERY AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814
Mailing Address - Country:US
Mailing Address - Phone:301-838-7635
Mailing Address - Fax:301-838-7635
Practice Address - Street 1:4300 MONTGOMERY AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:301-838-7635
Practice Address - Fax:301-838-7635
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03350103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical