Provider Demographics
NPI:1295289577
Name:SCHATZ, NICOLE KATHLEEN (PHD)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:KATHLEEN
Last Name:SCHATZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11200 SW 8TH ST
Mailing Address - Street 2:AHC-1 ROOM 140
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33199-2516
Mailing Address - Country:US
Mailing Address - Phone:305-348-0663
Mailing Address - Fax:305-348-3646
Practice Address - Street 1:11200 SW 8TH ST
Practice Address - Street 2:AHC-1 ROOM 140
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33199-2516
Practice Address - Country:US
Practice Address - Phone:305-348-0663
Practice Address - Fax:305-348-3646
Is Sole Proprietor?:No
Enumeration Date:2016-08-04
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY951103T00000X
NY02826103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist