Provider Demographics
NPI:1437436565
Name:BILTER, KAREN JEAN (PH D)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:JEAN
Last Name:BILTER
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4888 DAVIS BLVD # 176
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-5338
Mailing Address - Country:US
Mailing Address - Phone:239-234-5066
Mailing Address - Fax:
Practice Address - Street 1:4376 BEECHWOOD LAKE DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-6102
Practice Address - Country:US
Practice Address - Phone:239-234-5066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSS 1025103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool