Provider Demographics
NPI:1346273802
Name:WROBEL, JANUSZ K (PHD, LLP, LPC)
Entity Type:Individual
Prefix:DR
First Name:JANUSZ
Middle Name:K
Last Name:WROBEL
Suffix:
Gender:M
Credentials:PHD, LLP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5494 SHALE DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-3973
Mailing Address - Country:US
Mailing Address - Phone:586-530-1170
Mailing Address - Fax:248-250-7030
Practice Address - Street 1:5494 SHALE DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-3973
Practice Address - Country:US
Practice Address - Phone:586-530-1170
Practice Address - Fax:248-250-7030
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401008241101YM0800X
MI6301013077103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist