Individual
LINDA COULLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4100 S DIXIE DR, MORAINE, OH 45439-2104
(937) 859-5121
(937) 643-5460
Mailing address
4100 S DIXIE DR, MORAINE, OH 45439-2104
(937) 859-5121
(937) 643-5460
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP. 0320
OH
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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