Provider Demographics
NPI:1396393831
Name:COFFEY, CLAUDIA NICOLE (SLP)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:NICOLE
Last Name:COFFEY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 N WHITEWOMAN ST
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-1094
Mailing Address - Country:US
Mailing Address - Phone:740-739-3529
Mailing Address - Fax:
Practice Address - Street 1:1203 CAMBRIDGE RD
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-2741
Practice Address - Country:US
Practice Address - Phone:740-622-5514
Practice Address - Fax:740-295-7715
Is Sole Proprietor?:No
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH20191218235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist