Doctor Name: | LISA KATCHER |
NPI Number: | 1083071088 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 9114 37th Ave Jackson Heights, NY - 113727920 |
Business Phone Number: | 7187791831 |
Business Fax Number: | 3476124150 |
Mailing Address: | 9114 37th Ave, JACKSON HEIGHTS |
State: | NY |
Postal Code: | 113727920 |
Phone Number: | 7187791831 |
Fax Number: | 3476124150 |
NPI Enumeration Date: | 01/21/2016 |
NPI Last Update Date: | 01/21/2016 |
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: |