Provider Demographics
NPI:1265651624
Name:SUZMAN-SCHWARTZ, KATHERINE BETH (PHD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:BETH
Last Name:SUZMAN-SCHWARTZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 HIGHLAND TER NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-3414
Mailing Address - Country:US
Mailing Address - Phone:404-876-7813
Mailing Address - Fax:
Practice Address - Street 1:2996 GRANDVIEW AVE NE
Practice Address - Street 2:SUITE 207
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-3245
Practice Address - Country:US
Practice Address - Phone:404-784-0891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY002632103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical