Provider Demographics
NPI:1366744393
Name:THULIN, KARMEN MIKEL (PSYD)
Entity type:Individual
Prefix:DR
First Name:KARMEN
Middle Name:MIKEL
Last Name:THULIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:KARMEN
Other - Middle Name:MIKEL
Other - Last Name:KING ANDERSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:300 S JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-3176
Mailing Address - Country:US
Mailing Address - Phone:918-852-9395
Mailing Address - Fax:
Practice Address - Street 1:300 S JACKSON ST STE 520
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-3133
Practice Address - Country:US
Practice Address - Phone:720-675-7050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-24
Last Update Date:2023-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY.0005134103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical