Individual
CAROLYN ANNE COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CFY SLP
Contact information
Practice address
4641 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-1550
(407) 892-5244
Mailing address
2902 N ORANGE AVE APT 207, ORLANDO, FL 32804-4664
(407) 406-1248
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ6364
FL
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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