Individual
DR. GREGORY MICHAEL KOTLARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
221 S MAIN ST, SUITE 201, ROYAL OAK, MI 48067-2611
(248) 398-6459
Mailing address
221 S MAIN ST, SUITE 201, ROYAL OAK, MI 48067-2611
(248) 398-6459
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006594
MI
Other
Enumeration date
06/08/2006
Last updated
07/08/2022
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