Provider Demographics
NPI:1356772198
Name:KATZ-BROWN, BARBARA DIANE (BS,MS,SDA)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:DIANE
Last Name:KATZ-BROWN
Suffix:
Gender:F
Credentials:BS,MS,SDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 EASTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-6237
Mailing Address - Country:US
Mailing Address - Phone:607-273-0405
Mailing Address - Fax:
Practice Address - Street 1:110 EASTWOOD AVE
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-6237
Practice Address - Country:US
Practice Address - Phone:607-273-0405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000786-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist