Individual
KATHRYN M KOZLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
(440) 449-1555
Mailing address
3605 WARRENSVILLE CENTER RD, SHAKER HEIGHTS, OH 44122-5203
(440) 684-5829
(440) 449-1555
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5884
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000245449
ANTHEM
OH
05
—
2382210
—
OH
Enumeration date
07/20/2006
Last updated
07/08/2007
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