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Individual

DR. MARA LYNN KATZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
8813 CAMINITO SUENO, LA JOLLA, CA 92037-1611
(858) 535-1157
Mailing address
8813 CAMINITO SUENO, LA JOLLA, CA 92037-1611
(858) 535-1157

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY7741
CA
103TC0700X
Clinical Psychologist
PSY7741
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PSY077410
CA
Enumeration date
08/04/2006
Last updated
09/18/2007
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