Doctor Name: | MR. DAVID WILLIAM KOVERMAN |
NPI Number: | 1659494029 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SUPERVISING LPCC |
License Number: | E507 |
Business Practice Address: | 442 Peachcreek Rd Centerville Finance, OH - 454583345 |
Business Phone Number: | 9373120939 |
Business Fax Number: | |
Mailing Address: | 442 Peachcreek Rd, CENTERVILLE |
State: | OH |
Postal Code: | 45458 |
Phone Number: | 9373120939 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | E507 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |