Karan Lee Redus is a Psychologist in Victoria, Texas. Karan Lee Redus practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Karan Lee Redus is 1366565426. The last update date is 2011-12-08.
Karan Lee Redus's current location address is 104 Kelly Drive, Victoria, Texas. You can contact this provider via phone number 3615749911 and fax number 3615749985. The mailing address for Karan Lee Redus is 104 Kelly Drive, Victoria, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Karan Lee Redus |
|---|---|
| Address | 104 Kelly Drive, Victoria, Texas |
| Phone Number | 3615749911 |
| Fax Number | 3615749985 |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1366565426 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2011-12-08 |
Provider Mailing Address Detail
| Address | 104 Kelly Drive |
|---|---|
| City | Victoria |
| State | Texas (TX) |
| Post Code | 77904 |
| Phone Number | 3615749911 |
| Fax Number | 3615749985 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 23137 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0008DS | BCBS | ||
| 123646501 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Karan Lee Redus by the Centers for Medicare & Medicaid Services?
The Karan Lee Redus has been assigned the NPI (National Provider Identifier) 1366565426 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Karan Lee Redus?
The Karan Lee Redus is physically situated at 104 Kelly Drive, in the city of Victoria, state of TX, with the postal code 77904.
What is Karan Lee Redus's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Karan Lee Redus's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Karan Lee Redus receive its 1366565426 assignment from the Centers for Medicare & Medicaid Services?
The Karan Lee Redus was assigned its 1366565426 by the Centers for Medicare & Medicaid Services on 2007-04-06.
As of what date were the details related to Karan Lee Redus most recently updated or revised?
The information pertaining to Karan Lee Redus, including its address, specialty, and other relevant details, was last updated or revised on 2011-12-08.