Provider Demographics
NPI:1366614034
Name:HOLDEN-ALFARO, KARIN M (PSYD)
Entity type:Individual
Prefix:DR
First Name:KARIN
Middle Name:M
Last Name:HOLDEN-ALFARO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2295 NW CORPORATE BLVD
Mailing Address - Street 2:STE. 231
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7373
Mailing Address - Country:US
Mailing Address - Phone:954-292-1666
Mailing Address - Fax:
Practice Address - Street 1:2295 NW CORPORATE BLVD
Practice Address - Street 2:STE. 231
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7373
Practice Address - Country:US
Practice Address - Phone:954-292-1666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-02
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7695103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical