Gregory Michael Kotlarz in Royal Oak - Clinical
Gregory Michael Kotlarz - NPI 1134160732
Gregory Michael Kotlarz is a Clinical in Royal Oak, Michigan. Gregory Michael Kotlarz practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gregory Michael Kotlarz is 1134160732. The last update date is 2022-07-08.
Gregory Michael Kotlarz's current location address is 221 S Main St, Royal Oak, Michigan. You can contact this provider via phone number 2483986459. The mailing address for Gregory Michael Kotlarz is 221 S Main St, Royal Oak, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Michael Kotlarz |
|---|---|
| Address | 221 S Main St, Royal Oak, Michigan |
| Phone Number | 2483986459 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1134160732 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2022-07-08 |
Provider Mailing Address Detail
| Address | 221 S Main St |
|---|---|
| City | Royal Oak |
| State | Michigan (MI) |
| Post Code | 480672611 |
| Phone Number | 2483986459 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301006594 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Gregory Michael Kotlarz by the Centers for Medicare & Medicaid Services (CMS)?
The Gregory Michael Kotlarz has been assigned the NPI (National Provider Identifier) 1134160732. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Gregory Michael Kotlarz located?
The Gregory Michael Kotlarz is located at 221 S Main St, Royal Oak, MI 480672611.
What is the Gregory Michael Kotlarz's area of specialization and corresponding taxonomy classification?
The Gregory Michael Kotlarz's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1134160732 to Gregory Michael Kotlarz?
The Centers for Medicare & Medicaid Services originally issued the 1134160732 to Gregory Michael Kotlarz on 2006-06-08.
When was the information pertaining to Gregory Michael Kotlarz most recently updated or revised?
The details related to Gregory Michael Kotlarz, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY