Individual
DR. MICHAEL DAVID KATZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4816 SIX FORKS RD, STE. 104, RALEIGH, NC 27609-5250
(919) 781-0852
(919) 781-1589
Mailing address
4816 SIX FORKS RD, STE. 104, RALEIGH, NC 27609-5250
(919) 781-0852
(919) 781-1589
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
768
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04017
BLUE CROSS BLUE SHIELD-NC
NC
Enumeration date
02/07/2006
Last updated
07/08/2007
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