Provider Demographics
NPI:1356586226
Name:CALDWELL, KAREN L (PHD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:L
Last Name:CALDWELL
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 1:161 EASTWOOD BND
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-8148
Mailing Address - Country:US
Mailing Address - Phone:828-406-7057
Mailing Address - Fax:
Practice Address - Street 1:719A GREEWAY ROAD
Practice Address - Street 2:ROOM 214
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607
Practice Address - Country:US
Practice Address - Phone:828-406-7057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-08
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC537106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist