Provider Demographics
NPI:1760763189
Name:COVINGTON, CHRISTINA MARIA (MS CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTINA
Middle Name:MARIA
Last Name:COVINGTON
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 WOODBURN CT
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-4738
Mailing Address - Country:US
Mailing Address - Phone:727-725-0190
Mailing Address - Fax:
Practice Address - Street 1:102 WOODBURN CT
Practice Address - Street 2:
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-4738
Practice Address - Country:US
Practice Address - Phone:727-725-0190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-30
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 4455235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist