MEDICARE: JENNIFER LYNN KOVACS ST

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
1	235Z00000X	Speech-Language Pathologist	SP7398	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000316648	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1801924451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LYNN KOVACS ST

Provider Business Mailing Address
First Line	:	111 GRISWOLD DR
Second Line	:
City	:	BOARDMAN
State	:	OH
Zip	:	44512-2826
Country	:	US
Telephone Number	:	330-758-1967
Fax Number	:

Provider Business Practice Location Address
First Line	:	2959 CANFIELD RD
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44511-2800
Country	:	US
Telephone Number	:	330-799-6298
Fax Number	:	330-799-4867

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1396732426 — DAVID RICH MD
Practice Location Address:

2959 CANFIELD RD , SUITE 8 & 9
YOUNGSTOWN, OH
44511-2800

Practice Phone: 330-797-0222
Practice Fax: 330-797-0058

1306875943 — TERRI EISEL OT
Practice Location Address:

2959 CANFIELD RD
YOUNGSTOWN, OH
44511-2800

Practice Phone: 330-799-6298
Practice Fax: 330-799-4867

1841223765 — MAURA HUGHES PT
Practice Location Address:

2959 CANFIELD RD
YOUNGSTOWN, OH
44511-2800

Practice Phone: 330-799-6298
Practice Fax: 330-799-4867

1811036650 — VICTOR MARTIN DUTKO JR. DDS
Practice Location Address:

2959 CANFIELD RD , SUITE 14
YOUNGSTOWN, OH
44511-2800

Practice Phone: 330-799-1216
Practice Fax: 330-799-1526

1003942434 — SAMUEL A. SEBASTIAN & GENE HRYCAK DBA OPTICAL VISION OF YOUNGSTOWN
Practice Location Address:

2959 CANFIELD RD , SUITE #1
YOUNGSTOWN, OH
44511-2800

Practice Phone: 330-792-7045
Practice Fax: 330-792-0038

1144340076 — DAVID RICH M D INC
Practice Location Address:

2959 CANFIELD RD , SUITES 8 & 9
YOUNGSTOWN, OH
44511-2800

Practice Phone: 330-797-0222
Practice Fax: 330-797-0058

Directions to “ JENNIFER LYNN KOVACS ST” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.