Individual
MS. CHERYL M KATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
58 PINE ST, NEW CANAAN, CT 06840-5425
(203) 972-7238
(203) 972-7238
Mailing address
979 SOUTH AVE, NEW CANAAN, CT 06840-6740
(203) 972-7238
(203) 972-7238
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004236
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135700
VALUE OPTIONS PROV. NUM.
CT
01
—
219646
MHN PROVIDER NUMBER
CT
01
—
60054
AETNA PROVIDER NUMBER
CT
01
—
P876525
OXFORD PROVIDER NUMBER
CT
Enumeration date
10/18/2006
Last updated
07/08/2007
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