Provider Demographics
NPI:1437436656
Name:KATZ, DEBORAH ANNE (MA,MFT)
Entity Type:Individual
Prefix:MISS
First Name:DEBORAH
Middle Name:ANNE
Last Name:KATZ
Suffix:
Gender:F
Credentials:MA,MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 CAMINO DIABLO
Mailing Address - Street 2:SUITE 120
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-3978
Mailing Address - Country:US
Mailing Address - Phone:925-472-9426
Mailing Address - Fax:
Practice Address - Street 1:2950 CAMINO DIABLO
Practice Address - Street 2:SUITE 120
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-3978
Practice Address - Country:US
Practice Address - Phone:925-472-9426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC35048101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health