Provider Demographics
NPI:1801592258
Name:KAREN CARDENAS, PSY.D., LLC
Entity type:Organization
Organization Name:KAREN CARDENAS, PSY.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDENAS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:754-264-8523
Mailing Address - Street 1:16475 NW 18TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-1733
Mailing Address - Country:US
Mailing Address - Phone:786-385-3215
Mailing Address - Fax:
Practice Address - Street 1:1500 WESTON RD STE 200-12
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3263
Practice Address - Country:US
Practice Address - Phone:754-264-8523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty