Individual
JUDITH KOVACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 TOWANDA ST, WHITE HAVEN, PA 18661-1217
(570) 709-3417
Mailing address
620 TOWANDA ST, WHITE HAVEN, PA 18661-1217
(570) 709-3417
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL003489L
PA
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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