Doctor Name: | JENNIFER M ZOLTOWSKI |
NPI Number: | 1689912370 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LLP |
License Number: | 6301011283 |
Business Practice Address: | 26711 Woodward Ave Suite Lla Huntington Woods, MI - 480701333 |
Business Phone Number: | 2486770074 |
Business Fax Number: | |
Mailing Address: | 26711 Woodward Ave, Suite Lla HUNTINGTON WOODS |
State: | MI |
Postal Code: | 480701333 |
Phone Number: | 2486770074 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2013 |
NPI Last Update Date: | 02/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6301011283 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |