Individual
MRS. ELIZABETH DE SOMERY COVINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
977 MAIN ST, WALTHAM, MA 02451-7406
(781) 899-4709
Mailing address
55 HOWARD ST, LUNENBURG, MA 01462-1001
(978) 582-3338
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1652
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0371815
—
MA
Enumeration date
04/02/2007
Last updated
07/09/2007
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