Dr. Nicholas John Katko, Ph.D.
Psychologist, Clinical in Fort Sam Houston, TX. Individual provider (NPI-1).
NPI number1851642003
StatusActive
Last updated in NPPESApr 1, 2021
Details
- NPI
- 1851642003
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicholas John Katko
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2012
- Certification date
- Apr 1, 2021
- Last updated
- Apr 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 36166 | TX | Yes |
Practice location
2484 Garden Ave Bldg 3820Fort Sam Houston, TX 78234-7802
Phone 210-539-1069
Mailing address
2484 Garden Ave Bldg 3820Fort Sam Houston, TX 78234-7802
Phone 210-539-1069
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