Provider Demographics
NPI:1154478600
Name:DRUCKER, KAREN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:DRUCKER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:737 29TH ST
Mailing Address - Street 2:SUITE 200D
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-2317
Mailing Address - Country:US
Mailing Address - Phone:303-442-2561
Mailing Address - Fax:
Practice Address - Street 1:737 29TH ST
Practice Address - Street 2:SUITE 200D
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-2317
Practice Address - Country:US
Practice Address - Phone:303-442-2561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2625103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical