Provider Demographics
NPI:1033570221
Name:COEN, DONALD (SPEECH PATHOLOGIST)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:
Last Name:COEN
Suffix:
Gender:M
Credentials:SPEECH PATHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4525 SAINT ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43953-3317
Mailing Address - Country:US
Mailing Address - Phone:740-264-0155
Mailing Address - Fax:
Practice Address - Street 1:4525 SAINT ANDREWS DR
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43953-3317
Practice Address - Country:US
Practice Address - Phone:740-264-0155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP0117235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist