Provider Demographics
NPI:1235864471
Name:HALL-KATZ, MAUREEN BRIDGET (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:BRIDGET
Last Name:HALL-KATZ
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 N. HARBOR BLVD SUITE 800
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835
Mailing Address - Country:US
Mailing Address - Phone:714-686-4627
Mailing Address - Fax:866-440-4397
Practice Address - Street 1:1440 N. HARBOR BLVD SUITE 800
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835
Practice Address - Country:US
Practice Address - Phone:714-686-4627
Practice Address - Fax:866-440-4397
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP5905235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist