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Contact Information

COASTAL SPEECH THERAPY
24 SERENITY FARMS RD
COASTAL SPEECH THERAPY
WOODBINE, GA31569
 Phone: 912-230-0024
 Fax: 912-576-5182
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for COASTAL SPEECH THERAPY · (Female)

NPI Number 1417099755
Status Active
Credentials
Entity Individual
Enumeration date 02/13/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # CLP005987
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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