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NPI Code Detail

MEDICARE: JEFFREY KARP PSY.D.

MEDICARE: JEFFREY KARP PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist7130OH

General Provider Information

NPI Number : 1205250347
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY KARP PSY.D.
Provider Business Mailing Address
First Line : 3680 NORWOOD RD APT 11
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-4976
Country : US
Telephone Number : 216-965-5620
Fax Number :
Provider Business Practice Location Address
First Line : 23293 COMMERCE PARK
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-5808
Country : US
Telephone Number : 216-292-7170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2014
Last Update Date : 02/10/2014

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