Individual
COURTNEY COUGHLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-2205
Mailing address
405 MILL STREAM WAY, WOODSTOCK, GA 30188-3561
(469) 964-0148
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 13487
FL
Other
Enumeration date
02/07/2015
Last updated
02/07/2015
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