Provider Demographics
NPI:1265735484
Name:KATZ, NORMAN (PSYD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:
Last Name:KATZ
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1195
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91376-1195
Mailing Address - Country:US
Mailing Address - Phone:805-644-0314
Mailing Address - Fax:818-735-9926
Practice Address - Street 1:950 COUNTY SQUARE DR
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-5410
Practice Address - Country:US
Practice Address - Phone:805-644-0314
Practice Address - Fax:818-735-9926
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-09
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY12957103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist