Organization Name: | RAYMOND KOWALCYK, PH.D. |
NPI Number: | 1184895633 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAYMOND MICHAEL KOWALCYK (PSYCHOLOGIST & PRESIDENT) |
Mailing Address: | 6841 Blue Church Rd S Coopersburg |
State: | PA US |
Postal Code: | 180361883 |
Phone Number: | 6107039633 |
Fax Number: | 6102822988 |
NPI Enumeration Date: | 03/12/2008 |
NPI Last Update Date: | 03/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS000833L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |