Provider Demographics
NPI:1154658342
Name:DR KAREN M KNUTH PSYD PA
Entity type:Organization
Organization Name:DR KAREN M KNUTH PSYD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:KNUTH
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:305-892-0868
Mailing Address - Street 1:1001 BRICKELL BAY DR
Mailing Address - Street 2:2318
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-4900
Mailing Address - Country:US
Mailing Address - Phone:305-892-0868
Mailing Address - Fax:
Practice Address - Street 1:1001 BRICKELL BAY DR
Practice Address - Street 2:2318
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-4900
Practice Address - Country:US
Practice Address - Phone:305-892-0868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-09
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6290103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty