Provider Demographics
NPI:1992470751
Name:COVINGTON, MICHALA
Entity type:Individual
Prefix:
First Name:MICHALA
Middle Name:
Last Name:COVINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MICHALA
Other - Middle Name:
Other - Last Name:APEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4455 S PADRE ISLAND DR STE 104
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-5125
Mailing Address - Country:US
Mailing Address - Phone:361-792-0822
Mailing Address - Fax:
Practice Address - Street 1:4455 S PADRE ISLAND DR STE 104
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-5125
Practice Address - Country:US
Practice Address - Phone:361-792-0822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117299235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist