Individual
DR. KATHRYN R MAZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
200 WILLOW VALLEY DRIVE, LIFE MANAGEMENT ASSOCIATES, LANCASTER, PA 17601-5896
(717) 394-6688
(717) 394-6804
Mailing address
1848 CHARTER LANE, LIFE MANAGEMENT ASSOCIATES, LANCASTER, PA 17601-5896
(717) 394-6688
(717) 394-6804
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS007353L
PA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
PS007353L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03137701
CAPITAL BLUE CROSS
PA
01
—
462875
VALUE OPTIONS
PA
Enumeration date
05/10/2006
Last updated
09/11/2025
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