Doctor Name: | MR. MICHAEL SZYJAKOWSKI |
NPI Number: | 1104067503 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 2442-125 |
Business Practice Address: | W180n8085 Town Hall Rd Menomonee Falls, WI - 530513518 |
Business Phone Number: | 2622511005 |
Business Fax Number: | |
Mailing Address: | 8416 W Watertown Plank Rd, Apt 4 WAUWATOSA |
State: | WI |
Postal Code: | 532263576 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/13/2009 |
NPI Last Update Date: | 03/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2442-125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |