Provider Demographics
NPI:1417245416
Name:MULVEY, KAREN A
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:A
Last Name:MULVEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6507 TAIT ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-6527
Mailing Address - Country:US
Mailing Address - Phone:619-246-8499
Mailing Address - Fax:
Practice Address - Street 1:940 E VALLEY PKWY
Practice Address - Street 2:STE D
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-3441
Practice Address - Country:US
Practice Address - Phone:760-747-0205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-12
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health