Individual
DR. BRIAN KOVACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
480 OSBORNE RD NE STE 260, FRIDLEY, MN 55432-2866
(632) 365-6397
Mailing address
480 OSBORNE RD NE STE 260, FRIDLEY, MN 55432-2866
(632) 363-8007
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP5799
MN
Other
Enumeration date
09/24/2014
Last updated
03/11/2021
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