Doctor Name: | BARBARA JOAN KATZ |
NPI Number: | 1013249002 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. |
License Number: | |
Business Practice Address: | 10 Cabot Road Suite 209 Medford, MA - 02155 |
Business Phone Number: | 7813950625 |
Business Fax Number: | 7813950198 |
Mailing Address: | 10 Cabot Road, Suite 209 MEDFORD |
State: | MA |
Postal Code: | 02155 |
Phone Number: | 7813950625 |
Fax Number: | 7813950198 |
NPI Enumeration Date: | 02/02/2010 |
NPI Last Update Date: | 02/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |