Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake Kozlowski

Individual provider Clinical Psychologist · NPI 1053299131

Blake Kozlowski is a Clinical Psychologist in Royal Oak, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

25600 Woodward Ave Ste 109
Royal Oak, MI 48067-0944
Phone: (574) 302-7443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6362009995 (MI)

Record details

NPI number1053299131
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 26, 2025
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025

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