Individual
ROBERT J LATKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA,LLP
Contact information
Practice address
800 LIVINGSTON BLVD STE B, GAYLORD, MI 49735-8351
(989) 732-6292
(989) 732-0780
Mailing address
55 ESTELLE RD, GAYLORD, MI 49735-9232
(989) 732-8191
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008058
MI
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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