Provider Demographics
NPI:1366003287
Name:KAATZ, KATHRYN
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:
Last Name:KAATZ
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:KAT
Other - Middle Name:
Other - Last Name:KAATZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:313 HUMMINGBIRD DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-9619
Mailing Address - Country:US
Mailing Address - Phone:850-449-0717
Mailing Address - Fax:
Practice Address - Street 1:1099 N WALNUT AVE STE A
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-5323
Practice Address - Country:US
Practice Address - Phone:830-515-8480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-21
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX390200000X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician