Individual
MRS. KATHLEEN MARIE KOTNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
2155 MIRAMAR BLVD, UNIVERSITY HEIGHTS, OH 44118-3301
(216) 320-5031
Mailing address
2155 MIRAMAR BLVD, UNIVERSITY HEIGHTS, OH 44118-3301
(216) 320-5031
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
NY1006636
OH
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
04/30/2014
Last updated
02/28/2023
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