Individual
AMANDA COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 W TABERNACLE ST, ST GEORGE, UT 84770-3338
(951) 201-8587
Mailing address
4004 S SUGAR PLUM WAY, WASHINGTON, UT 84780-3218
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12884762-4102
UT
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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