Provider Demographics
NPI:1447898390
Name:KOVACH, KATARINA ANNE (QMHS)
Entity type:Individual
Prefix:
First Name:KATARINA
Middle Name:ANNE
Last Name:KOVACH
Suffix:
Gender:F
Credentials:QMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3063 SCHNEIDER RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-2571
Mailing Address - Country:US
Mailing Address - Phone:440-328-5096
Mailing Address - Fax:
Practice Address - Street 1:2460 CHERRY ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-2667
Practice Address - Country:US
Practice Address - Phone:419-244-3053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-11
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator