Provider Demographics
NPI:1700192770
Name:KARP, JONATHAN PHILIP (PHD)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:PHILIP
Last Name:KARP
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 1:220 SUNNYSIDE DR
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-2155
Mailing Address - Country:US
Mailing Address - Phone:732-462-1129
Mailing Address - Fax:732-462-5750
Practice Address - Street 1:220 SUNNYSIDE DR
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-2155
Practice Address - Country:US
Practice Address - Phone:732-462-1129
Practice Address - Fax:732-462-5750
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012785-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical