Provider Demographics
NPI:1679605232
Name:KOVATCH, CATHERINE M (PHD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:M
Last Name:KOVATCH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1366 OLD FORD RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-8106
Mailing Address - Country:US
Mailing Address - Phone:215-947-4405
Mailing Address - Fax:215-947-4405
Practice Address - Street 1:OLD FORD RD
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-8106
Practice Address - Country:US
Practice Address - Phone:215-947-4405
Practice Address - Fax:215-947-4405
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008576L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist