Individual
BETHANN BODDUM COFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
150 GRAND AVE, SUITE 101, OAKLAND, CA 94612-3781
(510) 451-5800
(510) 451-5802
Mailing address
448 CUMBERLAND DR, PLEASANT HILL, CA 94523-4049
(925) 256-8382
(925) 256-8382
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP10153
CA
Other
Enumeration date
05/08/2011
Last updated
05/08/2011
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