Provider Demographics
NPI:1952415515
Name:WALDMAN, KAREN LEIGH (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LEIGH
Last Name:WALDMAN
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 1:4115 FLAMINGO CT
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2584
Mailing Address - Country:US
Mailing Address - Phone:281-412-6061
Mailing Address - Fax:
Practice Address - Street 1:2002 HOLCOMBE BLVD
Practice Address - Street 2:MEDVAMC - MHCL - CMHP 116
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4211
Practice Address - Country:US
Practice Address - Phone:713-791-1414
Practice Address - Fax:713-794-8064
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25623103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX83952VOtherBCBS PROVIDER #
TX86747VOtherBCBS PROVIDER #
TX51363OtherNATIONAL REGISTER HSP #
TX84594VOtherBCBS PROVIDER #
TX86703VOtherBCBS PROVIDER #