Provider Demographics
NPI:1699934356
Name:KOVACS, ARTHUR L (PHD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:L
Last Name:KOVACS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1821 WILSHIRE BOULEVARD
Mailing Address - Street 2:SUITE 411
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-5679
Mailing Address - Country:US
Mailing Address - Phone:310-828-4233
Mailing Address - Fax:310-828-4992
Practice Address - Street 1:1821 WILSHIRE BOULEVARD
Practice Address - Street 2:SUITE 411
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-5679
Practice Address - Country:US
Practice Address - Phone:310-828-4233
Practice Address - Fax:310-828-4992
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-06
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY518103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical