=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932441516
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ROBIN K. KATZMAN COUNSELING, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/21/2013
-----------------------------------------------------
Last Update Date | 03/21/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3208 WHITNEY AVE UNIT 1D
-----------------------------------------------------
City | HAMDEN
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06518-2158
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-464-9557
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 441 BUCKLAND DR
-----------------------------------------------------
City | CHESHIRE
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06410-4147
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-464-9557
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LICENSED PROFESSIONAL COUNSELOR
-----------------------------------------------------
Name | ROBIN K. KATZMAN
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 203-464-9557
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 002266
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------