Provider Demographics
NPI:1760692396
Name:O'BRIEN, KAREN MARY (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:MARY
Last Name:O'BRIEN
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 1:14724 LOCUSTWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-6424
Mailing Address - Country:US
Mailing Address - Phone:301-405-5812
Mailing Address - Fax:
Practice Address - Street 1:14724 LOCUSTWOOD LN
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-6424
Practice Address - Country:US
Practice Address - Phone:301-405-5812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03106103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling