Most Relevant Information
Provider Data
| NPI Number: | 1003069444 |
| Provider Name: | KAREN SISCOE PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | PSY16311 |
Most Important Dates
| Enumeration Date: | 10/29/2008 |
| Last Updated: | 10/29/2008 |
Provider Practice Location
450 BAUCHET ST
LOS ANGELES
CA
900122907
Practice Location Phone/Fax
| Phone: | 2134736530 |
| Fax: |
Provider Mailing Location
450 BAUCHET ST
LOS ANGELES
CA
900122907
Provider Mailing Phone/Fax
| Phone: | 2134736530 |
| Fax: |