Provider Demographics
NPI:1235199746
Name:BARTSCH, KARL (PHD)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:
Last Name:BARTSCH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-6600
Mailing Address - Country:US
Mailing Address - Phone:814-234-4287
Mailing Address - Fax:814-234-3572
Practice Address - Street 1:1001 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-6600
Practice Address - Country:US
Practice Address - Phone:814-234-4287
Practice Address - Fax:814-234-3572
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS000672103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA030844Medicare PIN