Provider Demographics
NPI:1871845396
Name:KATZ, MADELEINE F (BA)
Entity Type:Individual
Prefix:MS
First Name:MADELEINE
Middle Name:F
Last Name:KATZ
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1851 FULTON ST
Mailing Address - Street 2:APARTMENT 6
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-1244
Mailing Address - Country:US
Mailing Address - Phone:415-812-4790
Mailing Address - Fax:
Practice Address - Street 1:4175 LAKESIDE DR.
Practice Address - Street 2:Y TEAM
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94806
Practice Address - Country:US
Practice Address - Phone:510-262-6551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-08
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health