| Rimma Kovalcik,psy.d. P.c. | |
|
1419 Beacon St Brookline MA 02446-4808 | |
| (617) 731-4081 | |
| Not Available |
| Full Name | Rimma Kovalcik,psy.d. P.c. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1419 Beacon St, Brookline, Massachusetts |
| Authorized Official Name and Position | Rimma Kovalcik (OWNER) |
| Authorized Official Contact | 6177314081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rimma Kovalcik,psy.d. P.c. 751 Heath St Chestnut Hill MA 02467-2200 Ph: (617) 731-4081 | Rimma Kovalcik,psy.d. P.c. 1419 Beacon St Brookline MA 02446-4808 Ph: (617) 731-4081 |
| NPI Number | 1700038320 |
|---|---|
| Provider Enumeration Date | 10/14/2008 |
| Last Update Date | 10/14/2008 |
| Medicare PECOS PAC ID | 1850567058 |
|---|---|
| Medicare Enrollment ID | O20120109000941 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700038320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 7223 (Massachusetts) | Primary |
| Provider Name | Rimma Kovalcik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033215173 PECOS PAC ID: 5294901492 Enrollment ID: I20120109000965 |
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