Provider Demographics
NPI:1659622389
Name:KARAOGLANIS, EYMORFIA VIKY
Entity Type:Individual
Prefix:
First Name:EYMORFIA
Middle Name:VIKY
Last Name:KARAOGLANIS
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 1:254 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-7390
Mailing Address - Country:US
Mailing Address - Phone:302-731-1504
Mailing Address - Fax:302-731-2720
Practice Address - Street 1:254 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-7390
Practice Address - Country:US
Practice Address - Phone:302-731-1504
Practice Address - Fax:302-731-2720
Is Sole Proprietor?:No
Enumeration Date:2012-09-20
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health