Provider Demographics
NPI:1558993360
Name:KATZ, ISAAC (LCPC)
Entity Type:Individual
Prefix:MR
First Name:ISAAC
Middle Name:
Last Name:KATZ
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:YITZY
Other - Middle Name:
Other - Last Name:KATZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCPC
Mailing Address - Street 1:2530 WILLOW GLEN DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-3135
Mailing Address - Country:US
Mailing Address - Phone:410-562-6596
Mailing Address - Fax:
Practice Address - Street 1:5905 PIMLICO RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3417
Practice Address - Country:US
Practice Address - Phone:410-929-0013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-10
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health