Provider Demographics
NPI:1174964779
Name:SEYMOUR, KAREN E (PHD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:E
Last Name:SEYMOUR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 ORLEANS STREET
Mailing Address - Street 2:CHILD & ADOLESCENT PSYCHIATRY BLOOMBERG CHILDREN'S CENT
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287
Mailing Address - Country:US
Mailing Address - Phone:410-955-2330
Mailing Address - Fax:410-955-8691
Practice Address - Street 1:1800 ORLEANS STREET
Practice Address - Street 2:CHILD & ADOLESCENT PSYCHIATRY BLOOMBERG CHILDREN'S CENT
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287
Practice Address - Country:US
Practice Address - Phone:410-955-2330
Practice Address - Fax:410-955-8691
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS01377103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent