Provider Demographics
NPI:1487737011
Name:SNODGRASS, KAREN THOMPSON (PHD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:THOMPSON
Last Name:SNODGRASS
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:1325 S 77 SUNSHINE STRIP STE 1
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HARLINSEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550
Mailing Address - Country:US
Mailing Address - Phone:956-428-8582
Mailing Address - Fax:956-428-8520
Practice Address - Street 1:2201 SCHULLE AVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703
Practice Address - Country:US
Practice Address - Phone:512-391-0426
Practice Address - Fax:956-428-8520
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX25063103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00U63FMedicare ID - Type Unspecified