Kowalke, Colleen M
Kowalke, Colleen M is an sole proprietor health care provider with primary practice located at 8150 N 61St Ave Apt 2120, Glendale AZ 85302-6764. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kowalke, Colleen M can be contacted via phone (623) 261-8770.Contact Information
Primary practice address
8150 N 61St Ave Apt 2120
Glendale AZ 85302-6764
Phone: (623) 261-8770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC12790 | Arizona |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4545 | Arizona |
Profile Details
| NPI number | 1760666895 |
|---|---|
| LBN Legal business name | Kowalke, Colleen M |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2007 |
| Last updated | Feb 10th, 2015 - about 11 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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