Provider Demographics
NPI:1346981305
Name:CHRISTIAN, KAREN CROSON (PSYD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:CROSON
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:CROSON
Other - Last Name:KELLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:14423 YELLOW TAVERN CT
Mailing Address - Street 2:
Mailing Address - City:HAYMARKET
Mailing Address - State:VA
Mailing Address - Zip Code:20169-4530
Mailing Address - Country:US
Mailing Address - Phone:703-505-2975
Mailing Address - Fax:
Practice Address - Street 1:FORT BELVOIR
Practice Address - Street 2:
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060
Practice Address - Country:US
Practice Address - Phone:703-704-0462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810003942103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical