Provider Demographics
NPI:1851477905
Name:HAMPTON, KAREN SUE (PH D)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:SUE
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:763 S. NEW BALLAS RD
Mailing Address - Street 2:STE 330
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8712
Mailing Address - Country:US
Mailing Address - Phone:314-432-5036
Mailing Address - Fax:314-997-1988
Practice Address - Street 1:763 S. NEW BALLAS RD
Practice Address - Street 2:STE 330
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8712
Practice Address - Country:US
Practice Address - Phone:314-432-5036
Practice Address - Fax:314-997-1988
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOPYR0473103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO138514OtherBC PROVIDER #