Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 20090236A | IN |
Y | 103T00000X | Psychologist | 20090236A | IN |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 20090236A | IN |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 20090236A | IN |
N | 103TC1900X | Counseling Psychologist | 20090236A | IN |
N | 103TF0000X | Family Psychologist | 20090236A | IN |
N | 103TP2701X | Group Psychotherapist | 20090236A | IN |
NPI | 1548334485 |
---|---|
Provider Name | Dr. Gregory Robert Karch |
First Address | Richmond, IN 47374-5475 |
Second Address | Richmond, IN 47374-5707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2006 |
Last Update Date | 25/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100257260A | (05) | IN |
R34442 | (02) | IN |