Provider Demographics
NPI:1265708044
Name:SIKLOSI, KAREN RACHEL (MGC, CGC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:RACHEL
Last Name:SIKLOSI
Suffix:
Gender:F
Credentials:MGC, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 NORTH BROADWAY
Mailing Address - Street 2:BRB 553
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287
Mailing Address - Country:US
Mailing Address - Phone:410-502-7124
Mailing Address - Fax:410-614-0213
Practice Address - Street 1:733 NORTH BROADWAY
Practice Address - Street 2:BRB 553
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287
Practice Address - Country:US
Practice Address - Phone:410-502-7124
Practice Address - Fax:410-614-0213
Is Sole Proprietor?:No
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS