Provider Demographics
NPI:1477878569
Name:KARPYAK, TATYANA (PSY D, LP)
Entity type:Individual
Prefix:DR
First Name:TATYANA
Middle Name:
Last Name:KARPYAK
Suffix:
Gender:F
Credentials:PSY D, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 14TH ST NW STE 204
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-0229
Mailing Address - Country:US
Mailing Address - Phone:507-821-5135
Mailing Address - Fax:
Practice Address - Street 1:1610 14TH ST NW STE 204
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-0229
Practice Address - Country:US
Practice Address - Phone:507-821-5135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-31
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP 5546103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical