Provider Demographics
NPI:1952614810
Name:KATZ, SHERI SARAH (MA)
Entity type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:SARAH
Last Name:KATZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 BARNARD AVE
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-2707
Mailing Address - Country:US
Mailing Address - Phone:516-569-2365
Mailing Address - Fax:516-569-5951
Practice Address - Street 1:535 BARNARD AVE
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-2707
Practice Address - Country:US
Practice Address - Phone:516-569-2365
Practice Address - Fax:516-569-5951
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016232-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist