Provider Demographics
NPI:1407991698
Name:CHARLAP, KATHERINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
Last Name:CHARLAP
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 1:305 E 24TH ST
Mailing Address - Street 2:APT. 5P
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-4011
Mailing Address - Country:US
Mailing Address - Phone:212-779-4494
Mailing Address - Fax:
Practice Address - Street 1:305 E 24TH ST
Practice Address - Street 2:APT. 5P
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4011
Practice Address - Country:US
Practice Address - Phone:212-779-4494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR046989-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical