Provider Demographics
NPI:1508180738
Name:COELHO, LINDA JEANNE (MS, SLP-CCC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:JEANNE
Last Name:COELHO
Suffix:
Gender:F
Credentials:MS, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 WATER ST STE 500
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-4612
Mailing Address - Country:US
Mailing Address - Phone:207-623-4989
Mailing Address - Fax:207-622-9798
Practice Address - Street 1:263 WATER ST STE 500
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-4612
Practice Address - Country:US
Practice Address - Phone:207-623-4989
Practice Address - Fax:207-622-9798
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESP1983235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist