Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | ||
N | 103T00000X | Psychologist | ||
Y | 102L00000X | Psychologist | ||
Y | 103T00000X | Psychologist | ||
N | 102L00000X | Psychologist | 003195 | NY |
N | 103T00000X | Psychologist | 003195 | NY |
N | 103TA0700X | Adult Development & Aging Psychologist | ||
N | 103TC2200X | Clinical Child & Adolescent Psychologist |
NPI | 1003009598 |
---|---|
Provider Name | Dr. Anita Weinreb Katz |
First Address | New York, NY 10128-1656 |
Second Address | New York, NY 10128-1656 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2007 |
Last Update Date | 20/08/2007 |