Provider Demographics
NPI:1508750829
Name:KOVACH, ALLISON RACHELLE
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:RACHELLE
Last Name:KOVACH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 S EIGHTY EIGHT RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:PA
Mailing Address - Zip Code:15338-1071
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1041 S EIGHTY EIGHT RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:PA
Practice Address - Zip Code:15338-1071
Practice Address - Country:US
Practice Address - Phone:724-986-2908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency