Provider Demographics
NPI:1356591366
Name:ENG, KARI (PSYD)
Entity type:Individual
Prefix:DR
First Name:KARI
Middle Name:
Last Name:ENG
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4210 VALLEY RIDGE BLVD STE 113
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA
Mailing Address - State:FL
Mailing Address - Zip Code:32081-5171
Mailing Address - Country:US
Mailing Address - Phone:904-303-8362
Mailing Address - Fax:
Practice Address - Street 1:4210 VALLEY RIDGE BLVD STE 113
Practice Address - Street 2:
Practice Address - City:PONTE VEDRA
Practice Address - State:FL
Practice Address - Zip Code:32081-5171
Practice Address - Country:US
Practice Address - Phone:904-303-8362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY9629103TC0700X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical