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BERNADETTE S. KOVACH PH.D. PLLC

Psychoanalysis

Farmington Hills, Michigan

Provider NPI: 1417189523

Organization Information:
Organization Name:  BERNADETTE S. KOVACH PH.D. PLLC
Organization is not Subpart
Authorized Official:  BERNADETTE STARR KOVACH  SOLE PROPRIETOR  734-8121157

Practice Location:
31731 NORTHWESTERN HWY STE 257W  FARMINGTON HILLS, MI 48334 US
Tel: 734-812-1157  Fax: --

Business Mailing Address:
5675 WOODLAND PASS  BLOOMFIELD TWP, MI 48301 US
Tel: 734-812-1157  Fax: --

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103TP0814XBehavioral Health & Social Service Providers
Psychologist
Psychoanalysis
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
MI6301012246

Other Provider Identifiers:

IssuerNumberStateType
BCBS680H231360MI01
BCBSOH073475MI01
NPPES1548336324MI01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







PSYCHOANALYSIS JOBS MI - Page 1



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