Doctor Name: | MEGAN ALLYSSA COE |
NPI Number: | 1407101421 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 3684-154 |
Business Practice Address: | 614 S Rock Ave Viroqua, WI - 546651936 |
Business Phone Number: | 6086376337 |
Business Fax Number: | 6086373839 |
Mailing Address: | 3507 East Ave S, Apt 2 LA CROSSE |
State: | WI |
Postal Code: | 546018084 |
Phone Number: | 7152810368 |
Fax Number: | |
NPI Enumeration Date: | 07/16/2012 |
NPI Last Update Date: | 07/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3684-154 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |