Provider Demographics
NPI:1710920350
Name:KENDALL, KAREN SLOULIN (PHD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:SLOULIN
Last Name:KENDALL
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:PO BOX 13766
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73113-1766
Mailing Address - Country:US
Mailing Address - Phone:405-602-6466
Mailing Address - Fax:405-525-8477
Practice Address - Street 1:3106 NORCREST DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73121-1844
Practice Address - Country:US
Practice Address - Phone:405-602-6466
Practice Address - Fax:405-525-8477
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK543103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical