Provider Demographics
NPI:1144348376
Name:BRODY, KAREN HOWARD (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:HOWARD
Last Name:BRODY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:BERNETTE
Other - Last Name:BRODY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:500 MONROE TPKE UNIT 3-4
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-2354
Mailing Address - Country:US
Mailing Address - Phone:203-586-1753
Mailing Address - Fax:203-586-1762
Practice Address - Street 1:500 MONROE TPKE UNIT 3-4
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:CT
Practice Address - Zip Code:06468-2354
Practice Address - Country:US
Practice Address - Phone:203-586-1753
Practice Address - Fax:203-586-1762
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0344722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry