Individual
KAREN ANN STAAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
3740 W 26TH ST, ERIE, PA 16506-2039
(814) 835-5382
Mailing address
3740 W 26TH ST, ERIE, PA 16506-2039
(814) 835-5382
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
PS006850-L
PA
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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