Provider Demographics
NPI:1689922817
Name:COVINGTON-BARLOW, ZENARA
Entity Type:Individual
Prefix:
First Name:ZENARA
Middle Name:
Last Name:COVINGTON-BARLOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 N HAGGERTY RD
Mailing Address - Street 2:SUITE280
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-3795
Mailing Address - Country:US
Mailing Address - Phone:734-844-0800
Mailing Address - Fax:734-844-0808
Practice Address - Street 1:2050 N HAGGERTY RD
Practice Address - Street 2:SUITE280
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-3795
Practice Address - Country:US
Practice Address - Phone:734-844-0800
Practice Address - Fax:734-844-0808
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-20
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI01061305235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist