Individual
MICHELLE KOVACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301
(813) 400-5961
Mailing address
940 BELMONT ST, BROCKTON, MA 02301
(813) 400-5961
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01628
RI
Other
Enumeration date
07/18/2017
Last updated
06/14/2018
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