Provider Demographics
NPI:1164318937
Name:KAREN K FOWLER, PSYCHOLOGIST LLC
Entity type:Organization
Organization Name:KAREN K FOWLER, PSYCHOLOGIST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:KUULEI
Authorized Official - Last Name:FOWLER
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:206-507-2343
Mailing Address - Street 1:1240 SW ORCHARD ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106-1915
Mailing Address - Country:US
Mailing Address - Phone:206-597-2343
Mailing Address - Fax:
Practice Address - Street 1:2366 EASTLAKE AVE E STE 312
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-3399
Practice Address - Country:US
Practice Address - Phone:206-507-2343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty