Provider Demographics
NPI:1912205592
Name:COTE, CAROL ANN (MS, CCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:CAROL ANN
Middle Name:
Last Name:COTE
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 1:104 IRONWORKS RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:CT
Mailing Address - Zip Code:06413-1255
Mailing Address - Country:US
Mailing Address - Phone:203-530-1233
Mailing Address - Fax:860-669-0536
Practice Address - Street 1:104 IRONWORKS RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:CT
Practice Address - Zip Code:06413-1255
Practice Address - Country:US
Practice Address - Phone:203-530-1233
Practice Address - Fax:860-669-0536
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-07
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2420235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist