| Doctor Name: | ROBERT M KATNIK |
| NPI Number: | 1013254713 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | PSB37261 |
| Business Practice Address: | 4700 Spring St #220 La Mesa, CA - 919420263 |
| Business Phone Number: | 7607304540 |
| Business Fax Number: | 6196670815 |
| Mailing Address: | Po Box 609001, SAN DIEGO |
| State: | CA |
| Postal Code: | 921609001 |
| Phone Number: | 6195284600 |
| Fax Number: | 6195284625 |
| NPI Enumeration Date: | 01/15/2013 |
| NPI Last Update Date: | 01/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSB37261 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |