Provider Demographics
NPI:1811105653
Name:KOVALY, WILLIAM M (LPC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:M
Last Name:KOVALY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 LINCOLN AVE
Mailing Address - Street 2:APT G-5
Mailing Address - City:BELLEVUE
Mailing Address - State:PA
Mailing Address - Zip Code:15202-3842
Mailing Address - Country:US
Mailing Address - Phone:412-583-5228
Mailing Address - Fax:
Practice Address - Street 1:6117 BROAD ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3011
Practice Address - Country:US
Practice Address - Phone:412-342-2300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001615101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional