Provider Demographics
NPI:1861619710
Name:YEH, KAREN (PSYD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:YEH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39785 PASEO PADRE PKWY
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2926
Mailing Address - Country:US
Mailing Address - Phone:510-668-1680
Mailing Address - Fax:510-668-1660
Practice Address - Street 1:39785 PASEO PADRE PKWY
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-2926
Practice Address - Country:US
Practice Address - Phone:510-668-1680
Practice Address - Fax:510-668-1660
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 18928103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical