Provider Demographics
NPI:1588206841
Name:GILLIAN B KARP PHD LLC
Entity Type:Organization
Organization Name:GILLIAN B KARP PHD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GILLIAN
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:KARP
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:240-802-6525
Mailing Address - Street 1:6821 DELAWARE ST
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4165
Mailing Address - Country:US
Mailing Address - Phone:240-802-6525
Mailing Address - Fax:
Practice Address - Street 1:4915 SAINT ELMO AVE STE 504
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-6019
Practice Address - Country:US
Practice Address - Phone:240-802-6525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-08
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty