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Individual

DR. BERNADETTE STARR KOVACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
31731 NORTHWESTERN HWY STE 110E, FARMINGTON HILLS, MI 48334-1654
(734) 812-1157
Mailing address
31731 NORTHWESTERN HWY STE 110E, FARMINGTON HILLS, MI 48334-1654
(734) 812-1157

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301012246
MI
103TC0700X
Clinical Psychologist
Primary
631012246
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OH073475
BCBS GROUP
01
OH73060
BCBS
MI
Enumeration date
11/26/2006
Last updated
02/12/2024
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