Ireneus Jerome Kozak in Warren - Art Therapist
Ireneus Jerome Kozak - NPI 1417165119
Ireneus Jerome Kozak is a Art Therapist in Warren, Michigan. Ireneus Jerome Kozak practices all healthcare services and medical treatments related to Art Therapist. The NPI Number for Ireneus Jerome Kozak is 1417165119. The last update date is 2007-07-08.
Ireneus Jerome Kozak's current location address is 28494 Walker Ave, Warren, Michigan. You can contact this provider via phone number 7346572237. The mailing address for Ireneus Jerome Kozak is 28494 Walker Ave, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ireneus Jerome Kozak |
|---|---|
| Address | 28494 Walker Ave, Warren, Michigan |
| Phone Number | 7346572237 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ATR |
NPI Number Detail
| NPI Number | 1417165119 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 28494 Walker Ave |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480922543 |
| Phone Number | 7346572237 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Art Therapist |
|---|---|
| Taxonomy | 221700000X |
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Definition: (1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or phy |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Ireneus Jerome Kozak?
The Ireneus Jerome Kozak has been issued the NPI (National Provider Identifier) 1417165119 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Ireneus Jerome Kozak is physically located?
The Ireneus Jerome Kozak is physically situated at the following address: 28494 Walker Ave, Warren, MI, 480922543.
What is Ireneus Jerome Kozak's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ireneus Jerome Kozak is Art Therapist, and the corresponding taxonomy classification code for this specialized field is 221700000X.
On what date did the Ireneus Jerome Kozak receive its 1417165119 assignment from the Centers for Medicare & Medicaid Services?
The Ireneus Jerome Kozak was assigned its 1417165119 by the Centers for Medicare & Medicaid Services on 2007-05-18.
As of what date was the information regarding Ireneus Jerome Kozak, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ireneus Jerome Kozak, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.