Provider Demographics
NPI:1558771774
Name:COATES, CLARE SELIG (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CLARE
Middle Name:SELIG
Last Name:COATES
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7859 WALNUT HILL LN STE 200
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-5637
Mailing Address - Country:US
Mailing Address - Phone:501-951-4401
Mailing Address - Fax:
Practice Address - Street 1:7859 WALNUT HILL LN STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-5637
Practice Address - Country:US
Practice Address - Phone:214-530-0017
Practice Address - Fax:214-666-3181
Is Sole Proprietor?:No
Enumeration Date:2014-04-28
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106894235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist