Dr. Karen M. Fasciano PSY.D.
Full Name
Dr. Karen Marie Fasciano PSY.D.
NPI Number
1801843438
NPI Type
Individual Provider
Gender
Female
Enumeration Date
05/28/2006
Specialties
(Taxonomies)Name
Code
103TC2200X
103TC0700X
103TB0200X
103TC1900X
103TF0000X
103TP2701X
103TH0100X
103T00000X
103TS0200X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Licenses
State
Massachusetts
License Number
7291
Contact
Information
Purpose
Mailing
Location
Address
46 NONANTUM ST
130 2ND AVE
City
Newton
Waltham
State
MA
MA
Postal Code
02458-2434
02451-1100
Country
US
US
Telephone Number
(617) 945-2258
(781) 434-6578
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007