MEDICARE: DR. COURTNEY LISA KARP PSYD

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
1	103T00000X	Psychologist	PSY19862	CA

General Provider Information

NPI Number	:	1821170358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COURTNEY LISA KARP PSYD

Provider Business Mailing Address
First Line	:	2933 GLENN AVE
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90405-5800
Country	:	US
Telephone Number	:	310-613-5637
Fax Number	:

Provider Business Practice Location Address
First Line	:	2933 GLENN AVE
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90405-5800
Country	:	US
Telephone Number	:	310-613-5637
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	03/14/2026

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