Healthcare Provider Details

I. General information

NPI: 1104342211
Provider Name (Legal Business Name): KATALIN SZABO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2017
Last Update Date: 03/12/2021
Certification Date: 03/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 LINCOLN AVE STE 201
SAN RAFAEL CA
94901-2142
US

IV. Provider business mailing address

2107 ELLIS ST
SAN FRANCISCO CA
94115-3925
US

V. Phone/Fax

Practice location:
  • Phone: 415-459-5999
  • Fax:
Mailing address:
  • Phone: 415-987-8700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: