Individual
DR. ELISHEVA RENA KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1 HAMASPIK WAY, MONROE, NY 10950-8451
(845) 655-0600
Mailing address
142 VAN HOUTEN AVE APT 1, PASSAIC, NJ 07055-4602
(201) 316-6592
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
022597
NY
103TS0200X
School Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022597
LICENSURE NUMBER
NY
05
—
05237527
—
NY
01
—
1407211
UNIVERSITY OF THE STATE OF NEW YORK: EDUCATION DEPARTMENT
NY
Enumeration date
12/03/2015
Last updated
06/15/2020
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