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Contact Information

CAROL KOOYMAN
831 SO. LEE AVE.
LODI, CA95240
 Phone: 209-747-4304
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for CAROL KOOYMAN · (Female)

NPI Number 1114317195
Status Active
Credentials
Entity Individual
Enumeration date 01/29/2015
Last updated 01/29/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # SP4732
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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