Individual
DR. FREDERICK LAWRENCE COVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1901 FOGARTY AVE, SUITE 2, KEY WEST, FL 33040-3614
(305) 294-7522
(305) 296-1266
Mailing address
1901 FOGARTY AVE, SUITE 2, KEY WEST, FL 33040-3614
(305) 294-7522
(305) 296-1266
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY5311
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY5311
STATE LICENSE
FL
Enumeration date
05/10/2007
Last updated
07/08/2007
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