Provider Demographics
NPI:1063740132
Name:PEOPLES, KAREN MICHELE (PEOPLES KAREN)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:MICHELE
Last Name:PEOPLES
Suffix:
Gender:F
Credentials:PEOPLES KAREN
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:PEOPLES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:2506 CLAY ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-1811
Mailing Address - Country:US
Mailing Address - Phone:415-776-3726
Mailing Address - Fax:415-464-9338
Practice Address - Street 1:2506 CLAY ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-1811
Practice Address - Country:US
Practice Address - Phone:415-776-3726
Practice Address - Fax:415-464-9338
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-30
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY7885103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist