Provider Demographics
NPI:1922344266
Name:KOVACS, ANNE JONES (PSYD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:JONES
Last Name:KOVACS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:BRANNON
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:1013 E MICHIGAN ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-4704
Mailing Address - Country:US
Mailing Address - Phone:515-710-8424
Mailing Address - Fax:407-915-3911
Practice Address - Street 1:1013 E MICHIGAN ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-4704
Practice Address - Country:US
Practice Address - Phone:407-985-1927
Practice Address - Fax:407-915-3911
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-13
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8903103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical