NPI Profile for IAN KOVAC in BRANFORD, CT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Music Therapist |
225A00000X |
| NPI Number | 1033802160 |
|
| Status | Active | |
| Credentials | LPC, LMHC, MT-BC | |
| Entity | Individual | |
| Enumeration date | 06/02/2023 | |
| Last updated | 06/02/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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IAN KOVAC
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