Provider Demographics
NPI:1942362124
Name:KARPINEN, JOANNE MAE (PHD)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:MAE
Last Name:KARPINEN
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 1:4111 OKEMOS RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-3235
Mailing Address - Country:US
Mailing Address - Phone:517-347-4618
Mailing Address - Fax:517-347-7877
Practice Address - Street 1:4111 OKEMOS RD
Practice Address - Street 2:SUITE 104
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-3235
Practice Address - Country:US
Practice Address - Phone:517-347-4618
Practice Address - Fax:517-347-7877
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301009742103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P18900Medicare PIN