Provider Demographics
NPI:1861631749
Name:KARP, JESSICA (MS ED)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:KARP
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11020 FEATHERBROOK RD
Mailing Address - Street 2:APT 2B
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262
Mailing Address - Country:US
Mailing Address - Phone:518-339-9787
Mailing Address - Fax:
Practice Address - Street 1:11020 FEATHERBROOK RD
Practice Address - Street 2:APT 2B
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-7749
Practice Address - Country:US
Practice Address - Phone:518-339-9787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8304235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist