Provider Demographics
NPI:1942314984
Name:WOLMAN, KAREN L (PSY D)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:L
Last Name:WOLMAN
Suffix:
Gender:F
Credentials:PSY D
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 2363
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-2363
Mailing Address - Country:US
Mailing Address - Phone:407-493-4045
Mailing Address - Fax:918-401-8648
Practice Address - Street 1:6645 VINELAND RD
Practice Address - Street 2:SUITE 270
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7841
Practice Address - Country:US
Practice Address - Phone:407-493-4045
Practice Address - Fax:918-401-8648
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6288103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL54639ZMedicare PIN