Doctor Name: | LEONARD F KOZIOL |
NPI Number: | 1225212012 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYD |
License Number: | |
Business Practice Address: | 3800 N Wilke Rd Suite 160 Arlington Hts, IL - 600041278 |
Business Phone Number: | 8477057882 |
Business Fax Number: | |
Mailing Address: | Po Box 1487, PALATINE |
State: | IL |
Postal Code: | 600781487 |
Phone Number: | 8477057882 |
Fax Number: | 8477059081 |
NPI Enumeration Date: | 12/28/2007 |
NPI Last Update Date: | 02/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |