Doctor Name: | GREGORY MATHEW KOLAR |
NPI Number: | 1710070305 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS ED |
License Number: | |
Business Practice Address: | 115 E Waldo Blvd Manitowoc, WI - 54220 |
Business Phone Number: | 9206826087 |
Business Fax Number: | |
Mailing Address: | 4555 W Schroeder Drive, Suite 170 MILWAUKEE |
State: | WI |
Postal Code: | 53223 |
Phone Number: | 4143653210 |
Fax Number: | 4143653225 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 03/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |