Provider Demographics
NPI:1124247051
Name:KOVNAT, KAREL DEBRA (PHD)
Entity type:Individual
Prefix:DR
First Name:KAREL
Middle Name:DEBRA
Last Name:KOVNAT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:KAREL
Other - Middle Name:DEBRA
Other - Last Name:KOVNAT ADLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:261 OLD YORK RD STE 106
Mailing Address - Street 2:SUITE 106
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-3706
Mailing Address - Country:US
Mailing Address - Phone:215-935-0030
Mailing Address - Fax:215-935-0023
Practice Address - Street 1:261 OLD YORK RD STE 106
Practice Address - Street 2:SUITE 106
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3706
Practice Address - Country:US
Practice Address - Phone:215-935-0030
Practice Address - Fax:215-935-0023
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-005395-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical