MEDICARE: DR. ANDREW KARP PSYD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103TA0700X	Adult Development & Aging Psychologist
2	103TC2200X	Clinical Child & Adolescent Psychologist
3	103TH0004X	Health Psychologist
4	103TM1800X	Intellectual & Developmental Disabilities Psychologist
5	103G00000X	Clinical Neuropsychologist

General Provider Information

NPI Number	:	1922855188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW KARP PSYD

Provider Business Mailing Address
First Line	:	1130 TEN ROD RD STE E201
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-4168
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 TEN ROD RD STE E201
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-4168
Country	:	US
Telephone Number	:	401-519-6948
Fax Number	:

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

Provider Enumeration Date	:	05/03/2024
Last Update Date	:	05/03/2024

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