Provider Demographics
NPI:1194903690
Name:BEKKER, KAREN GAIL (PHD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:GAIL
Last Name:BEKKER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:GAIL
Other - Last Name:DORROS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:53 DUANE LANE
Mailing Address - Street 2:
Mailing Address - City:DEMAREST
Mailing Address - State:NJ
Mailing Address - Zip Code:07627-1304
Mailing Address - Country:US
Mailing Address - Phone:201-925-5882
Mailing Address - Fax:
Practice Address - Street 1:53 DUANE LN
Practice Address - Street 2:
Practice Address - City:DEMAREST
Practice Address - State:NJ
Practice Address - Zip Code:07627-1304
Practice Address - Country:US
Practice Address - Phone:201-925-5882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100394600103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist