Basic Information
Provider Information
NPI: 1619124351
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KARCHER
FirstName: ANNE
MiddleName: ELIZABETH
NamePrefix:  
NameSuffix:  
Credential: PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 31625 HIGHWAY 101 S
Address2: P.O. BOX 1020
City: SOLEDAD
State: CA
PostalCode: 939609529
CountryCode: US
TelephoneNumber: 8316785500
FaxNumber: 8316785666
Practice Location
Address1: 31625 HIGHWAY 101 S
Address2:  
City: SOLEDAD
State: CA
PostalCode: 939609529
CountryCode: US
TelephoneNumber: 8316785500
FaxNumber: 8316785666
Other Information
ProviderEnumerationDate: 08/25/2008
LastUpdateDate: 08/25/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700X21898CAY Behavioral Health & Social Service ProvidersPsychologistClinical
103TF0200X21898CAN Behavioral Health & Social Service ProvidersPsychologistForensic

No ID Information.


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