Provider Demographics
NPI:1225607062
Name:COVEY, KAMBER LAUREN (MS)
Entity type:Individual
Prefix:MRS
First Name:KAMBER
Middle Name:LAUREN
Last Name:COVEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICKASHA
Mailing Address - State:OK
Mailing Address - Zip Code:73018-3413
Mailing Address - Country:US
Mailing Address - Phone:405-320-8242
Mailing Address - Fax:
Practice Address - Street 1:411 S 5TH ST
Practice Address - Street 2:
Practice Address - City:CHICKASHA
Practice Address - State:OK
Practice Address - Zip Code:73018-3413
Practice Address - Country:US
Practice Address - Phone:405-320-8242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-24
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKSP5797235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist