Provider Demographics
NPI:1427171453
Name:NAIFEH, KAREN HEMPEL (PHD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:HEMPEL
Last Name:NAIFEH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BAYWOOD AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-1523
Mailing Address - Country:US
Mailing Address - Phone:650-571-5212
Mailing Address - Fax:
Practice Address - Street 1:1 BAYWOOD AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-1523
Practice Address - Country:US
Practice Address - Phone:650-571-5212
Practice Address - Fax:650-577-9505
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14597103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0PL145971Medicare ID - Type Unspecified