Individual
LAWRENCE C KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
1275 JAMES DR, SUITE A, ENTERPRISE, AL 36330-2063
(334) 308-1940
(334) 308-1942
Mailing address
105 E MAPLE AVE, GENEVA, AL 36340-1615
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
962
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051554131
CAHABA GBA
AL
01
—
51524148
BLUE CROSS BLUE SHIELD
AL
05
—
890015460
—
AL
Enumeration date
06/07/2006
Last updated
09/28/2009
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