Provider Demographics
NPI:1437299203
Name:LOUGHRIDGE, KAREN DOLORES (MSW)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:DOLORES
Last Name:LOUGHRIDGE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:DOLORES
Other - Last Name:LOUGHRIDGE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:56 BRADSHAW ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-4820
Mailing Address - Country:US
Mailing Address - Phone:978-620-1250
Mailing Address - Fax:
Practice Address - Street 1:56 BRADSHAW ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-4820
Practice Address - Country:US
Practice Address - Phone:978-620-1250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical