Provider Demographics
NPI:1568978112
Name:HOOGESTEYN, KARINA
Entity Type:Individual
Prefix:MISS
First Name:KARINA
Middle Name:
Last Name:HOOGESTEYN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10335 PANAMA ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33026-4526
Mailing Address - Country:US
Mailing Address - Phone:954-292-6722
Mailing Address - Fax:305-742-2190
Practice Address - Street 1:2615 FAIRWAYS DR
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33035-1173
Practice Address - Country:US
Practice Address - Phone:786-972-4700
Practice Address - Fax:305-508-6697
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-19
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician