Provider Demographics
NPI:1518998277
Name:KARR, ELAINE S (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:S
Last Name:KARR
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 1:11850 WILSHIRE BLVD.
Mailing Address - Street 2:SUITE 200 A
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-6629
Mailing Address - Country:US
Mailing Address - Phone:310-575-9332
Mailing Address - Fax:310-575-9302
Practice Address - Street 1:11850 WILSHIRE BLVD
Practice Address - Street 2:SUITE 200 A
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-6609
Practice Address - Country:US
Practice Address - Phone:310-575-9332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2015-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY7488103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical