Provider Demographics
NPI:1467823120
Name:NAMAN, KATYA
Entity Type:Individual
Prefix:MS
First Name:KATYA
Middle Name:
Last Name:NAMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 LONG BEACH BLVD
Mailing Address - Street 2:SUITE 406
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-2007
Mailing Address - Country:US
Mailing Address - Phone:800-624-1475
Mailing Address - Fax:
Practice Address - Street 1:4201 LONG BEACH BLVD
Practice Address - Street 2:SUITE 406
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-2007
Practice Address - Country:US
Practice Address - Phone:800-624-1475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-07
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool