Provider Demographics
NPI:1003297730
Name:CORT, KAREN ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ANN
Last Name:CORT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 FIELDSTONE DR
Mailing Address - Street 2:APT # 61
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-1509
Mailing Address - Country:US
Mailing Address - Phone:347-564-4553
Mailing Address - Fax:
Practice Address - Street 1:4 FIELDSTONE DR
Practice Address - Street 2:APT # 61
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-1509
Practice Address - Country:US
Practice Address - Phone:347-564-4553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017942103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling