Individual
MRS. MICHELE MARIE COULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
5109 N 6TH ST, PHOENIX, AZ 85012-1401
(602) 321-5407
Mailing address
5109 N 6TH ST, PHOENIX, AZ 85012-1401
(602) 321-5407
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0915
AZ
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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