Provider Demographics
NPI:1518389816
Name:KATZ, STEVEN PHILLIP (MFT)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:PHILLIP
Last Name:KATZ
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 N KALAHEO AVE
Mailing Address - Street 2:APT F
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2344
Mailing Address - Country:US
Mailing Address - Phone:808-220-3625
Mailing Address - Fax:
Practice Address - Street 1:152 N KALAHEO AVE
Practice Address - Street 2:APT F
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2344
Practice Address - Country:US
Practice Address - Phone:808-220-3625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-06
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT376106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist