Provider Demographics
NPI:1982639027
Name:KATKIN, STEVEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:KATKIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5720 SIGNAL HILL CT
Mailing Address - Street 2:STE A
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-1481
Mailing Address - Country:US
Mailing Address - Phone:513-831-9408
Mailing Address - Fax:513-831-1333
Practice Address - Street 1:5720 SIGNAL HILL CT STE A
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-1481
Practice Address - Country:US
Practice Address - Phone:513-831-9408
Practice Address - Fax:513-831-1333
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1186103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHKACP02411Medicare ID - Type Unspecified