Individual
DR. RAY JASON KATZENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2607 BRIDGEPORT WAY W STE 2D, UNIVERSITY PLACE, WA 98466-4725
(253) 446-2319
(253) 375-1653
Mailing address
2607 BRIDGEPORT WAY W STE 2D, UNIVERSITY PLACE, WA 98466-4725
(253) 446-2319
(253) 375-1653
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY60324969
WA
103TC1900X
Counseling Psychologist
Primary
PY60324969
WA
Other
Enumeration date
12/07/2012
Last updated
05/04/2025
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