Healthcare Provider Details

I. General information

NPI: 1881432946
Provider Name (Legal Business Name): NATALIA ZATIC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2024
Last Update Date: 07/15/2024
Certification Date: 07/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 E MARKET ST
LOUISVILLE KY
40202-1218
US

IV. Provider business mailing address

204 E MARKET ST
LOUISVILLE KY
40202-1218
US

V. Phone/Fax

Practice location:
  • Phone: 206-713-8570
  • Fax:
Mailing address:
  • Phone: 206-713-8570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: