Individual
JACQUELINE LOUISE KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED D
Contact information
Practice address
712 PURCELL AVENUE, CINCINNATI, OH 45205-2344
(513) 471-9169
(513) 251-7922
Mailing address
712 PURCELL AVENUE, CINCINNATI, OH 45205-2344
(513) 471-9169
(513) 251-7922
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
3521
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0771795
—
OH
Enumeration date
11/16/2006
Last updated
07/08/2007
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