Individual
KENNETH KOBAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2256
WI
103TB0200X
Cognitive & Behavioral Psychologist
2256
WI
103TC1900X
Counseling Psychologist
2256
WI
103TP2701X
Group Psychotherapy Psychologist
Primary
2256
WI
Other
Enumeration date
04/16/2007
Last updated
09/11/2025
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