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General NPI Number Information
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NPI Number | 1396587838
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Entity Type | Individual
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Provider Name | LAURA LEE COVA MS SLP CF
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Gender | Female
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 115 N 3RD ST W APT 1
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City | MISSOULA
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State | MT
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Zip | 59802-3664
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Country | US
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Telephone | 406-471-7384
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7444
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City | MISSOULA
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State | MT
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Zip | 59807-7444
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Country | US
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Telephone | 406-471-7384
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP-LTD-LIC-339
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License Number State | MT
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