Provider Demographics
NPI:1083699847
Name:KATT-BECK, SHEILA (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:
Last Name:KATT-BECK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:SHEILA
Other - Middle Name:D
Other - Last Name:KATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:901 S EDISON AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2920
Mailing Address - Country:US
Mailing Address - Phone:813-254-7065
Mailing Address - Fax:813-253-5752
Practice Address - Street 1:3502 HENDERSON BLVD STE 307
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-3970
Practice Address - Country:US
Practice Address - Phone:813-254-7065
Practice Address - Fax:813-253-5752
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0004455103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical