Individual
DR. TERESE KATZ
Active
Individual
DR. TERESE KATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6842
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0596191
—
MA
01
—
1891103
MBHP
MD
01
—
272844000
MAGELLAN BEHAVIORAL HEALT
MD
01
—
776600
TUFTS HEALTH PLAN
MA
01
—
W05548
BCBS
MD
01
—
W50020
MEDICARE ID
MA
Enumeration date
11/15/2006
Last updated
09/28/2011
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