Individual
REBECCA C CORONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5144 REYNOSA DR, SAINT LOUIS, MO 63128-2735
(314) 322-0693
(636) 464-5438
Mailing address
5144 REYNOSA DR, SAINT LOUIS, MO 63128-2735
(314) 322-0693
(636) 464-5438
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146016907
IL
235Z00000X
Speech-Language Pathologist
Primary
2016013143
MO
235Z00000X
Speech-Language Pathologist
37402
CA
Other
Enumeration date
06/08/2015
Last updated
07/11/2024
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