Provider Demographics
NPI:1043390594
Name:HARTER, KAREN D (PHD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:D
Last Name:HARTER
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 1:22621 LYONS AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-1782
Mailing Address - Country:US
Mailing Address - Phone:661-755-8839
Mailing Address - Fax:661-253-4164
Practice Address - Street 1:22621 LYONS AVE STE 203
Practice Address - Street 2:
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-1782
Practice Address - Country:US
Practice Address - Phone:661-755-8839
Practice Address - Fax:661-253-4164
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY13472103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist