Individual
BRANDI MICHELLE COGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
731 FALCON HILL TRL, O FALLON, MO 63368-8194
(806) 679-9081
Mailing address
412 NANCY DR, O FALLON, IL 62269-3415
(806) 679-9081
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
110242
TX
235Z00000X
Speech-Language Pathologist
Primary
146.015875
IL
235Z00000X
Speech-Language Pathologist
2021017937
MO
Other
Enumeration date
06/18/2015
Last updated
08/05/2024
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