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Individual

DR. KAREN LUNDIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
15190 COMMUNITY RD, SUITE 260, GULFPORT, MS 39503-3485
(228) 331-3310
(228) 371-9337
Mailing address
15190 COMMUNITY RD, SUITE 260, GULFPORT, MS 39503-3485
(228) 331-3310
(228) 371-9337

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY003049
GA
103T00000X
Psychologist
PSY003049
GA
103TC0700X
Clinical Psychologist
Primary
51 889
MS
103TC0700X
Clinical Psychologist
PSY003049
GA
103TR0400X
Rehabilitation Psychologist
PSY003049
GA

Other

Enumeration date
12/05/2006
Last updated
06/01/2012
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