| Doctor Name: | DR. RAYMOND MICHAEL KOWALCYK |
| NPI Number: | 1306016670 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH. D. |
| License Number: | PS000833L |
| Business Practice Address: | 6841 Blue Church Rd S Coopersburg, PA - 180361883 |
| Business Phone Number: | 6107039633 |
| Business Fax Number: | 6102822988 |
| Mailing Address: | 6841 Blue Church Rd S, COOPERSBURG |
| State: | PA |
| Postal Code: | 180361883 |
| Phone Number: | 6107039633 |
| Fax Number: | 6102822998 |
| NPI Enumeration Date: | 03/03/2008 |
| NPI Last Update Date: | 03/03/2008 |
| 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: | |