Provider Demographics
NPI:1912183518
Name:COFFMAN, ROBBIN K (MS)
Entity Type:Individual
Prefix:MRS
First Name:ROBBIN
Middle Name:K
Last Name:COFFMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 SOUTHMOOR CIRCLE NE
Mailing Address - Street 2:AUDIOLOGY & SPEECH ASSOCIATES
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45429
Mailing Address - Country:US
Mailing Address - Phone:513-779-6872
Mailing Address - Fax:
Practice Address - Street 1:15 SOUTHMOOR CIRCLE NE
Practice Address - Street 2:AUDIOLOGY & SPEECH ASSOCIATES
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45429
Practice Address - Country:US
Practice Address - Phone:513-779-6872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-3572235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist