Provider Demographics
NPI:1033203161
Name:KARMO, TALIA S
Entity type:Individual
Prefix:
First Name:TALIA
Middle Name:S
Last Name:KARMO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1516 W LONG LAKE RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-1341
Mailing Address - Country:US
Mailing Address - Phone:248-977-6955
Mailing Address - Fax:
Practice Address - Street 1:711 W 13 MILE RD STE 100
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-1873
Practice Address - Country:US
Practice Address - Phone:248-298-1000
Practice Address - Fax:248-298-1006
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801035675103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical