Individual
MR. BARRY JAY KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
600 MEDICAL DR, SUITE A, HAMPTON, VA 23666-1769
(757) 788-0600
(757) 788-0932
Mailing address
300 MEDICAL DR, 2ND FLOOR, HAMPTON, VA 23666-1765
(757) 788-0300
(757) 788-0969
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701000647
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005409683
—
VA
05
—
005412072
—
VA
05
—
005412081
—
VA
Enumeration date
10/25/2006
Last updated
10/22/2010
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