Provider Demographics
NPI:1679897722
Name:KATZ, ANN LEHMAN (EDD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:LEHMAN
Last Name:KATZ
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 GARDNER RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-4560
Mailing Address - Country:US
Mailing Address - Phone:617-738-5120
Mailing Address - Fax:
Practice Address - Street 1:216 GARDNER RD
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-4560
Practice Address - Country:US
Practice Address - Phone:617-738-5120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2267103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist