Phillips Maurizi, Katherine Rose

Phillips Maurizi, Katherine Rose is an individual health care provider with primary practice located at 14660 Oxnard St , Van Nuys CA 91411-3119. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Phillips Maurizi, Katherine Rose can be contacted via phone (818) 901-4836.

Contact Information

Primary practice address
14660 Oxnard St Van Nuys CA 91411-3119
Phone: (818) 901-4836
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC 49435 California

Profile Details

NPI number 1790814119
LBN Legal business name Phillips Maurizi, Katherine Rose
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated May 28th, 2013 - about 12 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1790814119 NPPES
California MEDICAID 7174

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