Provider Demographics
NPI:1568754083
Name:KATZ WESTRICH, ELLEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:
Last Name:KATZ WESTRICH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 E 68TH ST
Mailing Address - Street 2:SUITE 203B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-5844
Mailing Address - Country:US
Mailing Address - Phone:212-946-1739
Mailing Address - Fax:
Practice Address - Street 1:20 E 68TH ST
Practice Address - Street 2:SUITE 203B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-5844
Practice Address - Country:US
Practice Address - Phone:212-946-1739
Practice Address - Fax:212-650-1120
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014024-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist