Healthcare Provider Details

I. General information

NPI: 1295204550
Provider Name (Legal Business Name): KARIN GEPP PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2018
Last Update Date: 11/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 WEST ST STE 312
FORT LEE NJ
07024-5028
US

IV. Provider business mailing address

288 WADSWORTH AVE APT 3
NEW YORK NY
10040-4401
US

V. Phone/Fax

Practice location:
  • Phone: 888-242-2732
  • Fax:
Mailing address:
  • Phone: 315-209-9253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number183087
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: