Provider Demographics
NPI:1710132378
Name:MORGAN, KAREN GAIL (PHD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:GAIL
Last Name:MORGAN
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 1:9845 HORN RD
Mailing Address - Street 2:SUITE 260B
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-1992
Mailing Address - Country:US
Mailing Address - Phone:916-985-8610
Mailing Address - Fax:916-294-3122
Practice Address - Street 1:9845 HORN RD
Practice Address - Street 2:SUITE 260B
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-1992
Practice Address - Country:US
Practice Address - Phone:916-985-8610
Practice Address - Fax:916-294-3122
Is Sole Proprietor?:No
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY16373103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical