Healthcare Provider Details

I. General information

NPI: 1215348628
Provider Name (Legal Business Name): KARA CORPMAN M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2014
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 SHANAHAN RD
LEWIS CENTER OH
43035-9078
US

IV. Provider business mailing address

7269 MAPLELEAF BLVD
COLUMBUS OH
43235-4222
US

V. Phone/Fax

Practice location:
  • Phone: 740-657-5773
  • Fax:
Mailing address:
  • Phone: 614-736-0085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberS.2512202
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberOH3053579
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: