Active NPI
Courtney Coughlan
- Speech-Language Pathologist
- Kennett Square, PA
National Provider Identifier
1245621648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 13487
- Practice address
- 101 E State St
Kennett Square, PA 19348-3109 - Phone
- (610) 925-2205
- NPI assigned
- Feb 7, 2015
- Last updated
- Feb 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 13487 | FL | Primary |
Addresses
Primary practice location
101 E State St
Kennett Square, PA 19348-3109
Mailing address
405 Mill Stream Way
Woodstock, GA 30188-3561
Phone (469) 964-0148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 13487 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423267200000",
"number": "1245621648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 MILL STREAM WAY",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301883561",
"telephone_number": "469-964-0148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109",
"telephone_number": "610-925-2205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUGHLAN",
"first_name": "COURTNEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-07",
"last_updated": "2015-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 13487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennett Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.