Provider Demographics
NPI:1245599505
Name:KATZIN, BETSY SUE
Entity Type:Individual
Prefix:
First Name:BETSY
Middle Name:SUE
Last Name:KATZIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 DARLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-4224
Mailing Address - Country:US
Mailing Address - Phone:732-616-5780
Mailing Address - Fax:
Practice Address - Street 1:4 DARLINGTON DR
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-4224
Practice Address - Country:US
Practice Address - Phone:732-616-5780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-08
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00021800237600000X
NJ25MG00114600237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter