Provider Demographics
NPI:1235539685
Name:KARLA E. HUHN, PSY.D., P.C.
Entity Type:Organization
Organization Name:KARLA E. HUHN, PSY.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:417-881-9518
Mailing Address - Street 1:3753 S CHRISTINE AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-6633
Mailing Address - Country:US
Mailing Address - Phone:417-881-9518
Mailing Address - Fax:417-887-2051
Practice Address - Street 1:1722 S GLENSTONE AVE
Practice Address - Street 2:SUITE H
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-1513
Practice Address - Country:US
Practice Address - Phone:417-881-9518
Practice Address - Fax:417-887-2051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005028849261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO11873908OtherCAQH
MO495986325Medicaid
MO11873908OtherCAQH