Provider Demographics
NPI:1619004371
Name:FREED, KAREN WENDY (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:WENDY
Last Name:FREED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4802 TOPEKA DR
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-4706
Mailing Address - Country:US
Mailing Address - Phone:818-881-2272
Mailing Address - Fax:818-881-6442
Practice Address - Street 1:4802 TOPEKA DR
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-4706
Practice Address - Country:US
Practice Address - Phone:818-881-2272
Practice Address - Fax:818-881-6442
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC412562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry