Individual
DR. ELLIS H KATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 ESSEX GREEN DR, SUITE 65, PEABODY, MA 01960-2961
(978) 531-5571
Mailing address
7 ESSEX GREEN DR, SUITE 65, PEABODY, MA 01960-2961
(978) 531-5571
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2970
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0525588
—
MA
Enumeration date
12/25/2006
Last updated
07/08/2007
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