Organization Name: | RIMMA KOVALCIK,PSY.D. P.C. |
NPI Number: | 1700038320 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RIMMA KOVALCIK (OWNER) |
Mailing Address: | 1419 Beacon St Brookline |
State: | MA US |
Postal Code: | 024464808 |
Phone Number: | 6177314081 |
Fax Number: | |
NPI Enumeration Date: | 10/14/2008 |
NPI Last Update Date: | 10/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 7223 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |