Organization Name: | PATHWAYS PSYCHOLOGY SERVICES P.C. |
NPI Number: | 1043510258 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH MICHAEL ROSZKOWSKI (LICENSED CLINICAL PSYCHOLOGIST) |
Mailing Address: | 27w130 Roosevelt Rd Suite 203 Winfield |
State: | IL US |
Postal Code: | 601901611 |
Phone Number: | 6305888490 |
Fax Number: | 6305888491 |
NPI Enumeration Date: | 10/22/2010 |
NPI Last Update Date: | 04/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180007421 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |