Individual
BONNIE LYNNE COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 LAWRENCE ST, MEDINA, OH 44256-2809
(330) 636-4000
Mailing address
ELLA CANAVAN ELEMENTARY, 825 LAWRENCE STREET, MEDINA, OH 44256
(330) 636-4000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP7346
OH
Other
Enumeration date
09/19/2017
Last updated
07/21/2022
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