Provider Demographics
NPI:1790199016
Name:KATZMANN, COLLEEN
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:
Last Name:KATZMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1324 TREELINE DR
Mailing Address - Street 2:
Mailing Address - City:ROMANSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-4775
Mailing Address - Country:US
Mailing Address - Phone:484-951-8268
Mailing Address - Fax:
Practice Address - Street 1:1324 TREELINE DR
Practice Address - Street 2:
Practice Address - City:ROMANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-4775
Practice Address - Country:US
Practice Address - Phone:484-951-8268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-14
Last Update Date:2014-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst