Provider Demographics
NPI:1891908760
Name:COFFEE, APRIL COLEENE (M ED CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:COLEENE
Last Name:COFFEE
Suffix:
Gender:F
Credentials:M ED CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 SANDY MOUNT RD S
Mailing Address - Street 2:
Mailing Address - City:CORDELE
Mailing Address - State:GA
Mailing Address - Zip Code:31015-8220
Mailing Address - Country:US
Mailing Address - Phone:229-406-0013
Mailing Address - Fax:229-382-0444
Practice Address - Street 1:701 E 15TH AVE
Practice Address - Street 2:
Practice Address - City:CORDELE
Practice Address - State:GA
Practice Address - Zip Code:31015-1509
Practice Address - Country:US
Practice Address - Phone:229-273-5462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP004707235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist