Provider Demographics
NPI:1013152370
Name:HODGES, KAREN ORTON (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ORTON
Last Name:HODGES
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 1:2014 PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28220-2400
Mailing Address - Country:US
Mailing Address - Phone:704-377-0688
Mailing Address - Fax:704-569-1678
Practice Address - Street 1:2014 PARK DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2400
Practice Address - Country:US
Practice Address - Phone:704-377-0688
Practice Address - Fax:704-569-1678
Is Sole Proprietor?:No
Enumeration Date:2008-12-15
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst