Organization
JONATHAN KATZ PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN KATZ (PRESIDENT)
(312) 282-7003
Entity
Organization
Contact information
Practice address
1335 GUSDORF RD STE N, TAOS, NM 87571-5208
(312) 282-7003
Mailing address
1335 GUSDORF RD STE N, TAOS, NM 87571-5208
(312) 282-7003
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37689291
—
NM
Enumeration date
03/03/2021
Last updated
03/03/2021
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