Provider Demographics
NPI:1891118378
Name:KARP, TODD (MA PSYS)
Entity Type:Individual
Prefix:MR
First Name:TODD
Middle Name:
Last Name:KARP
Suffix:
Gender:M
Credentials:MA PSYS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21855 EATON RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44126-2311
Mailing Address - Country:US
Mailing Address - Phone:216-650-4370
Mailing Address - Fax:
Practice Address - Street 1:21855 EATON RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44126-2311
Practice Address - Country:US
Practice Address - Phone:216-650-4370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH1351656174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist