Healthcare Provider Details

I. General information

NPI: 1467396010
Provider Name (Legal Business Name): KARA KOVACH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46088 BELL SCHOOL RD
EAST LIVERPOOL OH
43920-8788
US

IV. Provider business mailing address

850 GLEN PARK RD
YOUNGSTOWN OH
44512-2707
US

V. Phone/Fax

Practice location:
  • Phone: 330-386-8700
  • Fax:
Mailing address:
  • Phone: 330-881-0847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberOH3226402
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: