Provider Demographics
NPI:1740451640
Name:SKERRETT, KAREN S (PHD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:S
Last Name:SKERRETT
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 1:1550 SPRING RD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1320
Mailing Address - Country:US
Mailing Address - Phone:708-579-5911
Mailing Address - Fax:
Practice Address - Street 1:1550 SPRING RD
Practice Address - Street 2:SUITE 215
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1320
Practice Address - Country:US
Practice Address - Phone:708-579-5911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical