Provider Demographics
NPI:1346281953
Name:KATZ, BARBARA BALLANTINE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:BALLANTINE
Last Name:KATZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6135 PARK SOUTH DR
Mailing Address - Street 2:SUITE 510
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3272
Mailing Address - Country:US
Mailing Address - Phone:704-945-7115
Mailing Address - Fax:
Practice Address - Street 1:6135 PARK SOUTH DR
Practice Address - Street 2:SUITE 510
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3272
Practice Address - Country:US
Practice Address - Phone:704-945-7115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0004461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical