Kowalczyk, Colleen

Kowalczyk, Colleen is an individual health care provider with primary practice located at 1437 S Belcher Rd , Clearwater FL 33764-2829. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kowalczyk, Colleen can be contacted via phone (727) 524-4464.

Contact Information

Primary practice address
1437 S Belcher Rd Clearwater FL 33764-2829
Phone: (727) 524-4464
Fax: (727) 524-4491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH7762 Florida

Profile Details

NPI number 1336289008
LBN Legal business name Kowalczyk, Colleen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336289008 NPPES
Florida MEDICAID 766778700

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