Individual
ALEXANDER G KOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
435 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-8500
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
15507
MN
103TC0700X
Clinical Psychologist
15507
MN
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
06/02/2017
Last updated
04/04/2024
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