Provider Demographics
NPI:1356502876
Name:KARLIN, EMILIE OWENS (PHD)
Entity type:Individual
Prefix:DR
First Name:EMILIE
Middle Name:OWENS
Last Name:KARLIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:EMILIE
Other - Middle Name:DAWN
Other - Last Name:OWENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1007 W STRAHAN DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-3455
Mailing Address - Country:US
Mailing Address - Phone:206-931-7942
Mailing Address - Fax:
Practice Address - Street 1:4520 N CENTRAL AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-1828
Practice Address - Country:US
Practice Address - Phone:602-501-1502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3969103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical