Doctor Name: | MRS. ASHLEY HARVARD KOVAC |
NPI Number: | 1255790309 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., CCC-SLP |
License Number: | SLP008669 |
Business Practice Address: | 2089 Teron Trce Suite 120 Dacula, GA - 300191609 |
Business Phone Number: | 7709046009 |
Business Fax Number: | |
Mailing Address: | 3534 Lynley Mill Ln, DACULA |
State: | GA |
Postal Code: | 300195050 |
Phone Number: | 6789823573 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2016 |
NPI Last Update Date: | 02/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP008669 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |