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NPI Code Detail

MEDICARE: LAURA HERTZFELD KATZ

MEDICARE: LAURA HERTZFELD KATZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist1327NC
2106H00000XMarriage & Family Therapist30712CA

General Provider Information

NPI Number : 1790151744
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA HERTZFELD KATZ
Provider Business Mailing Address
First Line : 963 N. HARRISON AVE.
Second Line : PMB 124
City : CARY
State : NC
Zip : 27513-8707
Country : US
Telephone Number : 919-371-2850
Fax Number :
Provider Business Practice Location Address
First Line : 1143-B EXECUTIVE CIRCLE
Second Line : SUITE 101
City : CARY
State : NC
Zip : 27511-8707
Country : US
Telephone Number : 919-371-2850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2015
Last Update Date : 09/06/2016

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Directions to “ LAURA HERTZFELD KATZ ” Practice Location

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