Provider Demographics
NPI:1265687727
Name:KATZ, DEBORAH (LICSW)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:KATZ
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 BIRD ST
Mailing Address - Street 2:P O BOX 9135
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035-2338
Mailing Address - Country:US
Mailing Address - Phone:508-543-8888
Mailing Address - Fax:508-543-3692
Practice Address - Street 1:11 BIRD ST
Practice Address - Street 2:
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035-2338
Practice Address - Country:US
Practice Address - Phone:508-543-8888
Practice Address - Fax:508-543-3692
Is Sole Proprietor?:No
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA114889101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health