Provider Demographics
NPI:1518196955
Name:O'CONNOR, KAREN ANNE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ANNE
Last Name:O'CONNOR
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 1:12613 SEATTLE SLEW DR
Mailing Address - Street 2:#2201
Mailing Address - City:JERSEY VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5502
Mailing Address - Country:US
Mailing Address - Phone:787-702-6941
Mailing Address - Fax:
Practice Address - Street 1:12613 SEATTLE SLEW DR
Practice Address - Street 2:2201
Practice Address - City:JERSEY VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:77065-5502
Practice Address - Country:US
Practice Address - Phone:787-702-6941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3390103TC0700X
TX35049103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist