Individual
JACQUELINE L KOVACIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
12395 FALCON RIDGE RD, CHESTERLAND, OH 44026-2236
(440) 554-9332
Mailing address
12395 FALCON RIDGE RD, CHESTERLAND, OH 44026-2236
(440) 729-3637
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-3521
OH
Other
Enumeration date
11/25/2012
Last updated
11/25/2012
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