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Individual

DR. KAREN M MIKOLIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
10620 TREENA ST STE 230, SAN DIEGO, CA 92131-1140
(858) 221-6311
(888) 388-2142
Mailing address
PO BOX 2933, SUNNYVALE, CA 94087-0933
(858) 221-6311
(888) 388-2142

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY8438
FL
103T00000X
Psychologist
PSY1000723
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
N/A
FL
01
PY8438
MEDICAL LICENSE
FL
Enumeration date
08/10/2011
Last updated
12/16/2025
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