Provider Demographics
NPI:1316222623
Name:KRUGER, KAREN E (PHD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:E
Last Name:KRUGER
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 1:9180 GALLERIA COURT
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109
Mailing Address - Country:US
Mailing Address - Phone:239-841-2010
Mailing Address - Fax:239-841-2010
Practice Address - Street 1:9180 GALLERIA COURT
Practice Address - Street 2:SUITE 300
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109
Practice Address - Country:US
Practice Address - Phone:239-841-2010
Practice Address - Fax:239-841-2010
Is Sole Proprietor?:No
Enumeration Date:2011-10-18
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8414103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling