Provider Demographics
NPI:1821170358
Name:KARP, COURTNEY LISA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:LISA
Last Name:KARP
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9171 WILSHIRE BOULEVARD
Mailing Address - Street 2:SUITE 670
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210
Mailing Address - Country:US
Mailing Address - Phone:310-281-7368
Mailing Address - Fax:310-273-1010
Practice Address - Street 1:9171 WILSHIRE BOULEVARD
Practice Address - Street 2:SUITE 670
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210
Practice Address - Country:US
Practice Address - Phone:310-281-7368
Practice Address - Fax:310-273-1010
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY19862103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist