Provider Demographics
NPI:1427107747
Name:KATZ-SCHULMAN, EILEEN R (MS, LMFT, LCMFT)
Entity type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:R
Last Name:KATZ-SCHULMAN
Suffix:
Gender:F
Credentials:MS, LMFT, LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 538
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-0538
Mailing Address - Country:US
Mailing Address - Phone:410-340-7556
Mailing Address - Fax:410-517-1202
Practice Address - Street 1:406 MAIN ST
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-1906
Practice Address - Country:US
Practice Address - Phone:410-340-7556
Practice Address - Fax:410-517-1202
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2008-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC000024106H00000X
MA556106H00000X
MDLCM353106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDLCM353OtherSTATE LICENSING BOARD
DCMFT000024OtherSTATE LICENSING BOARD
MA556OtherMFT LICENSE NUMBER