Provider Demographics
NPI:1104184597
Name:KOTIN PSYCHOLOGY, PLLC
Entity type:Organization
Organization Name:KOTIN PSYCHOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-392-8106
Mailing Address - Street 1:2106 QUAIL RUN
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-9495
Mailing Address - Country:US
Mailing Address - Phone:512-392-8106
Mailing Address - Fax:512-392-8090
Practice Address - Street 1:2106 QUAIL RUN
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-9495
Practice Address - Country:US
Practice Address - Phone:512-392-8106
Practice Address - Fax:512-392-8090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty