Provider Demographics
NPI:1235601899
Name:COEN-CUMMINGS, MARTHA CAROL (PHD CCC-S)
Entity Type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:CAROL
Last Name:COEN-CUMMINGS
Suffix:
Gender:F
Credentials:PHD CCC-S
Other - Prefix:
Other - First Name:MARTHA
Other - Middle Name:CAROL
Other - Last Name:CUMMINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD CCC-S
Mailing Address - Street 1:3430 BURNET AVE # 4011
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-2833
Mailing Address - Country:US
Mailing Address - Phone:513-636-6824
Mailing Address - Fax:513-636-5710
Practice Address - Street 1:9560 CHILDREN DR
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-9362
Practice Address - Country:US
Practice Address - Phone:513-636-6824
Practice Address - Fax:513-636-5710
Is Sole Proprietor?:No
Enumeration Date:2018-12-20
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-3422235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist