Blake Kozlowski Valid NPI
Individual provider · Clinical Psychologist · Royal Oak, MI
- NPI
- 1053299131
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TC0700X
- License number
- 6362009995 (MI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2025-08-26
- Last updated
- 2025-08-26
Practice location
25600 Woodward Ave Ste 109
Royal Oak, MI 48067-0944
(574) 302-7443