Individual
DR. STACEY HOUSE KOVAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3483
NC
103TC0700X
Clinical Psychologist
1190
AL
Other
Enumeration date
03/22/2006
Last updated
06/17/2015
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