Coco Breen, M.A., CF-SLP
Individual provider Active NPI Speech-Language Pathologist · Ferndale, WA
NPI 1649682170 · NPPES record last updated Jul 11, 2023
Key facts
- NPI
- 1649682170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 61461012 (WA)
- Practice address
- 2185 Ferndale Ter
Ferndale, WA 98248-9255 - Phone
- (360) 966-1010
- NPI assigned
- Jun 2, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61461012 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whatcom Center for Early Learning | Past |
Accepting new patients | |
| Catholic Community Services of Western Washington | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 61461012 | WA | Yes |
Addresses
Primary practice location
2185 Ferndale Ter
Ferndale, WA 98248-9255
Mailing address
2001 H St
Bellingham, WA 98225-3226
Phone (360) 671-3660
Other providers in Ferndale, WA
- Carol Ann Bolt
- Connie Jo Booher
- Diane Kay Borden
- Braden G. Miller DDS PLLC
- Brittany Brawley
- Rebecca Brejcha
- Bridges Treatment & Recovery
- Mark L Brooks
- Samuel G Browning
- Amelia Rose Brush
All providers in Ferndale, WA · Speech-Language Pathologist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.