Individual
LYDIA COFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1401 RIDGEWOOD SCHOOL RD, ARNOLD, MO 63010-4615
(636) 282-1459
Mailing address
209 E WASHINGTON ST, COLUMBIA, IL 62236-2221
(618) 540-9065
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2016034566
MO
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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