Provider Demographics
NPI:1588837504
Name:PAULSEN-BALCH, KAREN A (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:A
Last Name:PAULSEN-BALCH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 E RIVER RD STE 121
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-6579
Mailing Address - Country:US
Mailing Address - Phone:520-577-3652
Mailing Address - Fax:520-577-3516
Practice Address - Street 1:2200 E RIVER RD STE 121
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-6579
Practice Address - Country:US
Practice Address - Phone:520-577-3652
Practice Address - Fax:520-577-3516
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ695103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical