Provider Demographics
NPI:1831167493
Name:KATZ, BETSY HIRSCH (MED,CCC - SLP)
Entity type:Individual
Prefix:MRS
First Name:BETSY
Middle Name:HIRSCH
Last Name:KATZ
Suffix:
Gender:F
Credentials:MED,CCC - SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2130 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:WEST LAWN
Mailing Address - State:PA
Mailing Address - Zip Code:19609-1600
Mailing Address - Country:US
Mailing Address - Phone:610-678-0858
Mailing Address - Fax:
Practice Address - Street 1:2130 PENN AVE
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19609-1600
Practice Address - Country:US
Practice Address - Phone:610-678-0858
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL000185L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist