Individual
LYDIA COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 BLUEGRASS AVE, LOUISVILLE, KY 40215-1130
(502) 361-2301
Mailing address
1800 BLUEGRASS AVE, LOUISVILLE, KY 40215-1130
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
168737
KY
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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