Provider Demographics
NPI:1518926633
Name:OZKAN, ERIC D (PHD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:D
Last Name:OZKAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6109 EVERGREEN CT
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48642-7188
Mailing Address - Country:US
Mailing Address - Phone:989-633-0003
Mailing Address - Fax:989-832-8813
Practice Address - Street 1:1108 ASHMAN ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-5470
Practice Address - Country:US
Practice Address - Phone:989-832-9161
Practice Address - Fax:989-832-8813
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301012518103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical