Provider Demographics
NPI:1912008301
Name:TRAPPE, KARL LAWRENCE (PH D)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:LAWRENCE
Last Name:TRAPPE
Suffix:
Gender:M
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 JEFFERSON RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-3790
Mailing Address - Country:US
Mailing Address - Phone:973-428-8812
Mailing Address - Fax:973-515-8686
Practice Address - Street 1:601 JEFFERSON RD
Practice Address - Street 2:SUITE 107
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-3790
Practice Address - Country:US
Practice Address - Phone:973-428-8812
Practice Address - Fax:973-515-8686
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00250200103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ452176Medicare ID - Type UnspecifiedPSYCHOLOGIST