Landis, Katy Tara

Landis, Katy Tara is an individual health care provider with primary practice located at 8880 Rio San Diego Dr Fl 8 , San Diego CA 92108-1642. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Landis, Katy Tara can be contacted via phone (619) 500-6282.

Contact Information

Primary practice address
8880 Rio San Diego Dr Fl 8 San Diego CA 92108-1642
Phone: (619) 500-6282
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 4191 California
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 4191 California
Behavioral Health & Social Service Providers / School 103TS0200X 4191 California

Profile Details

NPI number 1750160669
LBN Legal business name Landis, Katy Tara
Credentials MA, ED. S., LEP#4191
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2023
Last updated Sep 28th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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