Provider Demographics
NPI:1609596378
Name:KOVARIK, CARA LOUISE (MS, CCC-SLP, CBIS)
Entity Type:Individual
Prefix:MRS
First Name:CARA
Middle Name:LOUISE
Last Name:KOVARIK
Suffix:
Gender:F
Credentials:MS, CCC-SLP, CBIS
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:LOUISE
Other - Last Name:HYNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:77 S FRANKLIN ST UNIT 227
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-3785
Mailing Address - Country:US
Mailing Address - Phone:908-447-3847
Mailing Address - Fax:
Practice Address - Street 1:77 S FRANKLIN ST UNIT 227
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-3785
Practice Address - Country:US
Practice Address - Phone:908-447-3847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-01
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025388235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist