Provider Demographics
NPI:1104094598
Name:KATT, WENDY SUSAN (NP)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:SUSAN
Last Name:KATT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2127 CROMPOND RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-4329
Mailing Address - Country:US
Mailing Address - Phone:914-962-5800
Mailing Address - Fax:815-301-5504
Practice Address - Street 1:2127 CROMPOND RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-4329
Practice Address - Country:US
Practice Address - Phone:914-962-5800
Practice Address - Fax:815-301-5504
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY400367163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult