Individual
DR. ROMAN JOHN KOLODCHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
21056 DEAN ST, WARREN, MI 48091-2760
(586) 477-7472
(313) 454-8447
Mailing address
21056 DEAN ST, WARREN, MI 48091-2760
(586) 477-7472
(313) 454-8447
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6301009313
MI
Other
Enumeration date
10/01/2013
Last updated
03/09/2021
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