Provider Demographics
NPI:1144439100
Name:JIMENEZ, KAREN HOFFMAN (PHD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:HOFFMAN
Last Name:JIMENEZ
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 1:25 AUNT MOLLY RD
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08525-2301
Mailing Address - Country:US
Mailing Address - Phone:609-466-8808
Mailing Address - Fax:
Practice Address - Street 1:25 AUNT MOLLY RD
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08525-2301
Practice Address - Country:US
Practice Address - Phone:609-466-8808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00378700103TC0700X
NJ536127103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool