Individual
KAREN MICHELLE TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5979 EAST LIVINGSTON AVENUE, SUITE 101, COLUMBUS, OH 43232-2908
(614) 860-0580
(614) 860-0595
Mailing address
5979 EAST LIVINGSTON AVENUE, SUITE 101, COLUMBUS, OH 43232-2908
(614) 860-0580
(614) 860-0595
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4563
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020534563026
CARESOURCE
OH
05
—
2293174
—
OH
Enumeration date
12/28/2006
Last updated
04/20/2008
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