| Bernadette S. Kovach Ph.d. Pllc | |
|
31731 Northwestern Hwy Ste 110e Farmington Hills MI 48334-1654 | |
| (734) 812-1157 | |
| Not Available |
| Full Name | Bernadette S. Kovach Ph.d. Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 31731 Northwestern Hwy Ste 110e, Farmington Hills, Michigan |
| Authorized Official Name and Position | Bernadette Starr Kovach (SOLE PROPRIETOR) |
| Authorized Official Contact | 7348121157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bernadette S. Kovach Ph.d. Pllc 5675 Woodland Pass Bloomfield Twp MI 48301-1230 Ph: (734) 812-1157 | Bernadette S. Kovach Ph.d. Pllc 31731 Northwestern Hwy Ste 110e Farmington Hills MI 48334-1654 Ph: (734) 812-1157 |
| NPI Number | 1417189523 |
|---|---|
| Provider Enumeration Date | 08/23/2009 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/12/2024 |
| Medicare PECOS PAC ID | 3870632003 |
|---|---|
| Medicare Enrollment ID | O20091202000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417189523 | NPI | - | NPPES |
| 1548336324 | Other | MI | NPPES |
| OH073475 | Other | MI | BCBS |
| 680H231360 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301012246 (Michigan) | Secondary |
| 103TP0814X | Psychologist - Psychoanalysis | (* (Not Available)) | Primary |
| Provider Name | Bernadette Starr Kovach |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548336324 PECOS PAC ID: 9335288562 Enrollment ID: I20091202000015 |
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