Provider Demographics
NPI:1386992469
Name:MCMULLEN, KAREN (LP)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:MCMULLEN
Suffix:
Gender:F
Credentials:LP
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:FITTING-PAUL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LP
Mailing Address - Street 1:1273 W 17TH ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-3439
Mailing Address - Country:US
Mailing Address - Phone:832-215-2183
Mailing Address - Fax:
Practice Address - Street 1:2450 FONDREN RD
Practice Address - Street 2:STE 312
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2318
Practice Address - Country:US
Practice Address - Phone:713-789-7560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-21
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32663103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist