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Individual
DR. REBECCA BENNETT KATOVSICH
Active
Individual
DR. REBECCA BENNETT KATOVSICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LLP, LMSW
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301013818
MI
103TC0700X
Clinical Psychologist
6301013818
MI
104100000X
Social Worker
6801080778
MI
1041C0700X
Clinical Social Worker
Primary
6801080778
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8008979580
BCBS
MI
01
—
RK080778
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/24/2006
Last updated
02/13/2009
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