Bethann Boddum Coffin M.A., CCC-SLP

NPI 1275825390 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1275825390
Gender Female
Enumeration Date 05/08/2011
Last Updated 05/08/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
150 GRAND AVE
SUITE 101
OAKLAND CA, 94612-3781, US
Phone (510) 451-5800
Fax (510) 451-5802
Business Location
448 CUMBERLAND DR
PLEASANT HILL CA, 94523-4049, US
Phone (925) 256-8382
Fax (925) 256-8382
Toxanomy
Taxonomy Code 235Z00000X
License State California
License Number SP10153
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According to our database, Bethann Boddum Coffin M.A., CCC-SLP NPI is 1275825390, taxonomy code is 235Z00000X and license number is SP10153, license state is located at California. Bethann Boddum Coffin M.A., CCC-SLP physically located at 150 Grand Ave, Oakland CA, 94612-3781. NPI Number Bethann Boddum Coffin M.A., CCC-SLP has the Individual type.

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1275825390 NPI number is provided on an as is basis without warranty of any kind. 1275825390 is maintained by the National Plan & Provider Enumeration System. The contents of Bethann Boddum Coffin M.A., CCC-SLP are for informational purposes only.