Provider Demographics
NPI:1649682170
Name:BREEN, COCO (MA, CF-SLP)
Entity type:Individual
Prefix:MRS
First Name:COCO
Middle Name:
Last Name:BREEN
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 H ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-3226
Mailing Address - Country:US
Mailing Address - Phone:360-671-3660
Mailing Address - Fax:360-778-2929
Practice Address - Street 1:2185 FERNDALE TER
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:WA
Practice Address - Zip Code:98248-9255
Practice Address - Country:US
Practice Address - Phone:360-966-1010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61461012235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist