Search › Massachusetts › 1041C0700X
Kyle Kozelka, LICSW
NPI 1124544754 · on the registry since 2017
Practice
- Address
- Northeastern University, 360 Huntington Avenue
135 Forsyth Bldg, Uhcs
Boston, MA 02215 - Phone
- (617) 373-2772
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts