Provider Demographics
NPI:1417201856
Name:COVINGTON, JENNIFER KAY (MS-SLP/CCC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:KAY
Last Name:COVINGTON
Suffix:
Gender:F
Credentials:MS-SLP/CCC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:KAY
Other - Last Name:CARVO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS-SLP/CCC
Mailing Address - Street 1:4018 DARTMOOR LN
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-9258
Mailing Address - Country:US
Mailing Address - Phone:509-845-6168
Mailing Address - Fax:
Practice Address - Street 1:4018 DARTMOOR LN
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-9258
Practice Address - Country:US
Practice Address - Phone:509-845-6168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-07
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00004318235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist