Provider Demographics
NPI:1861472615
Name:KOVACS, RUTH (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:KOVACS
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 STATE AVE
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-4457
Mailing Address - Country:US
Mailing Address - Phone:717-243-1896
Mailing Address - Fax:717-243-5297
Practice Address - Street 1:26 STATE AVE
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-4457
Practice Address - Country:US
Practice Address - Phone:717-243-1896
Practice Address - Fax:717-243-5297
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000035106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA076213Medicare UPIN