Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROMAN JOHN KOLODCHIN, PHD
Active Sole ProprietorDR. ROMAN JOHN KOLODCHIN, PHD is a Child, Clinical Psychologist healthcare provider located in WARREN, Michigan. NPI 1679900047 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · WARREN, MI
Registration Details
- NPI Number
- 1679900047
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 1, 2013 (12.910052933779 yrs)
- Last Updated
- Mar 9, 2021
- License
-
6301009313 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
21056 DEAN STWARREN, MI, 480912760Browse MI providers · Browse ZIP 48091
- Phone
- 5864777472
- Fax
- 3134548447
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
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.