Provider Demographics
NPI:1366670481
Name:ENGEBRETSEN, KAREN ELAINE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ELAINE
Last Name:ENGEBRETSEN
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:PO BOX 452889
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33345-2889
Mailing Address - Country:US
Mailing Address - Phone:954-779-2855
Mailing Address - Fax:954-572-0298
Practice Address - Street 1:1876 N UNIVERSITY DR
Practice Address - Street 2:SUITE 200F
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-4130
Practice Address - Country:US
Practice Address - Phone:954-779-2855
Practice Address - Fax:954-572-0298
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-26
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5409174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist