Provider Demographics
NPI:1962218651
Name:KOPLITZ, CATHRYN J (MPHILED, LAPC)
Entity type:Individual
Prefix:
First Name:CATHRYN
Middle Name:J
Last Name:KOPLITZ
Suffix:
Gender:F
Credentials:MPHILED, LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2261 N HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19133-3727
Mailing Address - Country:US
Mailing Address - Phone:717-818-3306
Mailing Address - Fax:
Practice Address - Street 1:2261 N HOWARD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19133-3727
Practice Address - Country:US
Practice Address - Phone:717-818-3306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAPC000667101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional