Provider Demographics
NPI:1255458683
Name:COOMES, ADINA J (MS, CCC, SLP)
Entity type:Individual
Prefix:MS
First Name:ADINA
Middle Name:J
Last Name:COOMES
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 1:3605 LORRAIN RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-5562
Mailing Address - Country:US
Mailing Address - Phone:317-475-9567
Mailing Address - Fax:317-475-0858
Practice Address - Street 1:3605 LORRAIN RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-5562
Practice Address - Country:US
Practice Address - Phone:317-475-9567
Practice Address - Fax:317-475-0858
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22002654A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist