Kassidi Covan
Speech-Language Pathologist, in Jacksonville, FL. Individual provider (NPI-1).
NPI number1619703907
StatusActive
Last updated in NPPESSep 12, 2024
Details
- NPI
- 1619703907
- Entity type
- Individual (NPI-1)
- Name
- Kassidi Covan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2024
- Certification date
- Sep 12, 2024
- Last updated
- Sep 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SZ12292 | FL | Yes |
Practice location
3901 University Blvd SJacksonville, FL 32216-4312
Phone 904-345-7310
Mailing address
3901 University Blvd SJacksonville, FL 32216-4312
Phone 904-345-7251
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