Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IRENEUS JEROME KOZAK, ATR
Active Sole ProprietorArt Therapist · WARREN, MI
Registration Details
- NPI Number
- 1417165119
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2007 (18.928227283092 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
28494 WALKER AVEWARREN, MI, 480922543Browse MI providers · Browse ZIP 48092
- Phone
- 7346572237
- Primary Specialty
-
Art Therapist
221700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.