Provider Demographics
NPI:1669147047
Name:ABUZAHRA, KAREN JENNIFER (PSYD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:JENNIFER
Last Name:ABUZAHRA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:J
Other - Last Name:GOLDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:1800 HARRISON ST FL 7
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3466
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5736 MARIPOSA AVE
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-7402
Practice Address - Country:US
Practice Address - Phone:607-216-7180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-09
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20974103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical