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NPI Code Detail

MEDICARE: DOROTHY KOVACS MA, LMFT

MEDICARE: DOROTHY KOVACS MA, LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist001515CT

General Provider Information

NPI Number : 1013251503
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOROTHY KOVACS MA, LMFT
Provider Business Mailing Address
First Line : 276 BANK ST
Second Line :
City : SEYMOUR
State : CT
Zip : 06483-2700
Country : US
Telephone Number : 203-260-9800
Fax Number :
Provider Business Practice Location Address
First Line : 276 BANK ST
Second Line :
City : SEYMOUR
State : CT
Zip : 06483-2700
Country : US
Telephone Number : 203-260-9800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2012
Last Update Date : 01/04/2019

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