MEDICARE: MICHELLE KATZ MA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	174400000X	Specialist
2	101Y00000X	Counselor
3	225C00000X	Rehabilitation Counselor

General Provider Information

NPI Number	:	1396913083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE KATZ MA

Provider Business Mailing Address
First Line	:	10393 RIDGE RD
Second Line	:
City	:	NEVADA CITY
State	:	CA
Zip	:	95959-9015
Country	:	US
Telephone Number	:	216-409-4882
Fax Number	:

Provider Business Practice Location Address
First Line	:	10393 RIDGE RD
Second Line	:
City	:	NEVADA CITY
State	:	CA
Zip	:	95959-9015
Country	:	US
Telephone Number	:	216-409-4882
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2008
Last Update Date	:	03/19/2015

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Directions to “ MICHELLE KATZ MA” Practice Location

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