Provider Demographics
NPI:1588639447
Name:KOTIN, CLAUDIA J (PHD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:J
Last Name:KOTIN
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 1:2106 QUAIL RUN
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-9495
Mailing Address - Country:US
Mailing Address - Phone:512-392-8106
Mailing Address - Fax:512-392-8090
Practice Address - Street 1:2106 QUAIL RUN
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-9495
Practice Address - Country:US
Practice Address - Phone:512-392-8106
Practice Address - Fax:512-392-8090
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25335103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX612368Medicare PIN