| Doctor Name: | MR. ALAN J. KATZEN |
| NPI Number: | 1356492102 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW, MSSW, BCD |
| License Number: | 21907 |
| Business Practice Address: | Senior Mental Health Solutions 109 Manor Court North Willow Park, TX - 760873002 |
| Business Phone Number: | 8175228263 |
| Business Fax Number: | 8174411916 |
| Mailing Address: | 4516 Boat Club Rd, Suite 139 FORT WORTH |
| State: | TX |
| Postal Code: | 761357021 |
| Phone Number: | 6825545104 |
| Fax Number: | |
| NPI Enumeration Date: | 01/16/2007 |
| NPI Last Update Date: | 09/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 21907 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |