Provider Demographics
NPI:1316218787
Name:GERMEK, KAREN
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:GERMEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20075 NORTHVILLE PLACE DR
Mailing Address - Street 2:3123
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48167-2984
Mailing Address - Country:US
Mailing Address - Phone:407-670-4309
Mailing Address - Fax:
Practice Address - Street 1:20075 NORTHVILLE PLACE DR
Practice Address - Street 2:3123
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48167-2984
Practice Address - Country:US
Practice Address - Phone:407-670-4309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-18
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical