Provider Demographics
NPI:1336798982
Name:KATZ, BETH (MMT MT-BC NMT-F)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:KATZ
Suffix:
Gender:F
Credentials:MMT MT-BC NMT-F
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 FAWCETT ST UNIT 331
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-1176
Mailing Address - Country:US
Mailing Address - Phone:774-217-4393
Mailing Address - Fax:
Practice Address - Street 1:90 FAWCETT ST UNIT 331
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1176
Practice Address - Country:US
Practice Address - Phone:774-217-4393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-06
Last Update Date:2024-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist