Individual
JOSEPH WILLIAM DVORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW,LMFT
Contact information
Practice address
12 E 5TH ST, NEWPORT, KY 41071-1618
(859) 331-3292
(859) 578-2864
Mailing address
502 FARRELL DR, COVINGTON, KY 41011-3717
(859) 578-3204
(859) 578-3273
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
105664
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184607
MEDICARE GROUP NUMBER
KY
Enumeration date
12/05/2006
Last updated
06/15/2016
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