Kozlowski, Deirdre Lee

Kozlowski, Deirdre Lee is an sole proprietor health care provider with primary practice located at 6040 W Lisbon Ave Suite 102, Milwaukee WI 53210-2116. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kozlowski, Deirdre Lee can be contacted via phone (414) 871-9111.

Contact Information

Primary practice address
6040 W Lisbon Ave Suite 102 Milwaukee WI 53210-2116
Phone: (414) 871-9111
Fax: (414) 871-9121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 148-125 Wisconsin

Profile Details

NPI number 1770630683
LBN Legal business name Kozlowski, Deirdre Lee
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Jul 9th, 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 1770630683 NPPES
Wisconsin MEDICAID 391-95-700

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