Provider Demographics
NPI:1760640528
Name:AARON KARNILOW PHD PC
Entity Type:Organization
Organization Name:AARON KARNILOW PHD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:KARNILOW
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:678-566-5000
Mailing Address - Street 1:3400-A OLD MILTON PARKWAY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005
Mailing Address - Country:US
Mailing Address - Phone:678-566-5000
Mailing Address - Fax:
Practice Address - Street 1:3400-A OLD MILTON PARKWAY
Practice Address - Street 2:SUITE 500
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005
Practice Address - Country:US
Practice Address - Phone:678-566-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY002601103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty