Provider Demographics
NPI:1124791827
Name:SUSAN C KATZ M.D.
Entity type:Organization
Organization Name:SUSAN C KATZ M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROP. PRIVATE PRACTICE
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-320-5030
Mailing Address - Street 1:2980 E. VIA ALCALDE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718
Mailing Address - Country:US
Mailing Address - Phone:520-320-5030
Mailing Address - Fax:520-348-2964
Practice Address - Street 1:2980 E. VIA ALCALDE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718
Practice Address - Country:US
Practice Address - Phone:520-320-5030
Practice Address - Fax:520-348-2964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty