Provider Demographics
NPI:1962521138
Name:STICKLER, KAREN HELENE (PSYD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:HELENE
Last Name:STICKLER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 E WACKER DR
Mailing Address - Street 2:SUITE 1350
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-2314
Mailing Address - Country:US
Mailing Address - Phone:312-458-9258
Mailing Address - Fax:773-489-1358
Practice Address - Street 1:35 E WACKER DR
Practice Address - Street 2:SUITE 1350
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-2314
Practice Address - Country:US
Practice Address - Phone:312-458-9258
Practice Address - Fax:773-489-1358
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007280103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical