Provider Demographics
NPI:1437624343
Name:AMBRIZ, KATHERINE BOCANEGRA-MURPHY (LCSW)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:BOCANEGRA-MURPHY
Last Name:AMBRIZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:ERIN
Other - Last Name:BOCANEGRA-MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1720 E HARRISON AVE STE A1
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7475
Mailing Address - Country:US
Mailing Address - Phone:956-297-1888
Mailing Address - Fax:
Practice Address - Street 1:1720 E HARRISON AVE STE A1
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7475
Practice Address - Country:US
Practice Address - Phone:956-297-1888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-06
Last Update Date:2020-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX536371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical