Provider Demographics
NPI:1447266440
Name:SCHLEE, KARIN (PHD)
Entity type:Individual
Prefix:DR
First Name:KARIN
Middle Name:
Last Name:SCHLEE
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 1:1239N COUNTRY RD 6A
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-1920
Mailing Address - Country:US
Mailing Address - Phone:631-987-8337
Mailing Address - Fax:
Practice Address - Street 1:1239N COUNTRY RD 6A
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-1920
Practice Address - Country:US
Practice Address - Phone:631-987-8337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014586-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02144452Medicaid
NY02144452Medicaid