Individual
DR. JESSICA KOVLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
562 W END AVE PH A, NEW YORK, NY 10024-2721
(914) 420-6371
Mailing address
562 W END AVE PH A, NEW YORK, NY 10024-2721
(914) 420-6371
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
024627
NY
103TC0700X
Clinical Psychologist
Primary
024627
NY
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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