Provider Demographics
NPI:1962168138
Name:ARCANGELO, KAREN TAKACH (PHD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:TAKACH
Last Name:ARCANGELO
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 1:42 MARSHWOOD BND
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-9175
Mailing Address - Country:US
Mailing Address - Phone:570-650-3970
Mailing Address - Fax:
Practice Address - Street 1:42 MARSHWOOD BND
Practice Address - Street 2:
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-9175
Practice Address - Country:US
Practice Address - Phone:570-650-3970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool