Organization Name: | ERICH L. KOSOWITZ, PH.D., P.C. |
NPI Number: | 1013279744 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERICH L. KOSOWITZ (PRESIDENT) |
Mailing Address: | 100 E South St Suite 5 Charlottesville |
State: | VA US |
Postal Code: | 229025215 |
Phone Number: | 4349714747 |
Fax Number: | 4342934690 |
NPI Enumeration Date: | 06/08/2012 |
NPI Last Update Date: | 06/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |