Healthcare Provider Details

I. General information

NPI: 1962314005
Provider Name (Legal Business Name): COVA SPEECH THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 N HIGGINS AVE STE 206
MISSOULA MT
59802-4443
US

IV. Provider business mailing address

PO BOX 7444
MISSOULA MT
59807-7444
US

V. Phone/Fax

Practice location:
  • Phone: 406-201-7060
  • Fax:
Mailing address:
  • Phone: 406-201-7060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: LAURA LEE COVA
Title or Position: CLINICIAN
Credential: CCC-SLP
Phone: 406-201-7060