1003024688 NPI number — MS. KAREN R. DORRIER LCSW

Table of content: MS. KAREN R. DORRIER LCSW (NPI 1003024688)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003024688 NPI number — MS. KAREN R. DORRIER LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DORRIER
Provider First Name:
KAREN
Provider Middle Name:
R.
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RYMAN
Provider Other First Name:
KAREN
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1003024688
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1430 COLLIER ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78704-2911
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-445-7787
Provider Business Mailing Address Fax Number:
512-440-4059

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
56 EAST AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78701-4323
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-703-1396
Provider Business Practice Location Address Fax Number:
512-703-1390
Provider Enumeration Date:
05/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  35283 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 166269401 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com