Phillip Edward Niklowicz, TLLP

NPI #1093379414 in Lapeer, Michigan

Provider Information

NPI Number: 1093379414
Entity Type: Individual
Name: Phillip Edward Niklowicz, TLLP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: TLLP
Enumeration Date: May 1, 2019
Last Updated: May 1, 2019

Practice Location

Address: 300 N ELBA RD
City: Lapeer
State: Michigan
ZIP Code: 48446-8077
Phone: (810) 969-4442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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