Provider Demographics
NPI:1437362597
Name:UNGER, KAREN DALE (APRN, LMHC, EDD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:DALE
Last Name:UNGER
Suffix:
Gender:F
Credentials:APRN, LMHC, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1802 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33594-6726
Mailing Address - Country:US
Mailing Address - Phone:813-657-0374
Mailing Address - Fax:813-684-1404
Practice Address - Street 1:1802 MAIN STREET
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33594-6726
Practice Address - Country:US
Practice Address - Phone:813-657-0374
Practice Address - Fax:813-684-1404
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6433101YM0800X
FL11008343363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10749931OtherCAQH
FL11008343OtherPSYCHIATRIC NURSE PRACTITIONER